HomeMy WebLinkAbout0126852-Electric
o
OSHKOSH
ON THE WATER
Job Address 33 W TENNESSEE AVE
CITY OF OSHKOSH
No
126852
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ANN M SCHOEN
Create Date 09/19/2007
Contractor
SCHOMMER ELECTRICAL CONTRACTU
Category 612 - Re~_Ld_ential-Single Family Addition/R
Plan
Service
O_~ew _ O__~~~ge_ OTe":1~.~!'_~
Type 0 Overhead
. O_t,J~~~.9!~u.~~_____.1
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances r-----------~--
I
I
I
Use/Nature of !SFR /12' x 14' addition* off the rear of the house to include a kitchen and a 6' x 14' covered porch "check #7210
Work
-l
I
Fees: Valuation $1,500.00
Issued By: ~
Plan Approval $0.00
Permit Fee Paid
$77.00
Date 09/19/2007
- -
o Permit Voided I
Parcelld # 1500580000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
N164 TWO MILE RD
Agent/Owner
APPLETON WI 54914 - 9121
Telephone Number 920-731-2299
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RE EIVED
SEP192007 ~
DEPARTMENT OF ~
COMMUNITY DEVELOPMENT . .
INSPECTION SERVICES DIVISIO€)fHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
If vou are a contractor particiDatine in the Permit Fee Account System and have adeQuate funds. check here
if vou want this DTocessed throueh your account 0
DATE qjl<8j01
JOB ADDRESS 33 W. Te Of) ess ee
OWNER Be" A~o~s
CONTRACTOR EC c
CHECK il ALL APPUCABLE
US~CATEGORY
I3'Single Family DDuplex DMulti-Family
SERVICE ONew OTemporary
o Change DNot Applicable
o Rental
o Commercial
DIndustrial
TYPE OOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK IiZf ALL APPLICABLE
ORange
DFan OR Blower
DMotors
ODishwasher
OFumace
OGas Pumps
OGarbage Disposal
DAle
DOther
ODryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE * IJJlre Q dd :-hOVl
VALUE (Including labor and aU materials including light fixtures) $ 15<00. ~
MASTERELECI'RICIAN -(~fQ. J~
Fee g $1Jic;
3/02