HomeMy WebLinkAbout0127109-Electric
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OSHKOSH
ON THE WATER
Job Address 485 WINDINGBROOK DR
CITY OF OSHKOSH
No
127109
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ANDREW C/AMY C DAVIS
Create Date 09/20/2007
Contractor
SCHOMMER ELECTRICAL CONTRACTU
Category 6J1::-'3_~~!d_~l!tlal-S if:l_g~f~rn!~~~c19ition/R
Plan
Service
ON~w
o Change 0 Temp
_.~~~~--~
Circuits
Type 0 Overhead
~~llstE:irground
Volts
Luminaires
Amps
Switches
Receptacles
.-.------.------~------------.------.-~-.-1
I
I
I
j
Appliances
Use/Nature of :SFR/ Remodeling the basement to include a bathroom, office, and playroom.
Work
,._ _.___.______.,..__."'__~__". _ _.._ ,_J
Fees: Valuation ~_J.?.JOO.OO
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 10/04/2007
O__Permit V~i_d~
Parcelld # 0614402300
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
Agent/Owner
Address
N164 TWO MILE RD
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 (i.e. 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
~
OfHKOfH
ON THF W^TI'R
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 withoutpermit(s) will result in fees being doubled or $100.00 plus the
nonnal pencit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S stem and have ode unds check here
jf vou want this DTocessed throuf!h your account 0
DATE lD--a.-1
JOB ADDRESS '-1<05 WI'fldlv:911F'OOK
OWNER GctlleCi- Homes
CONTRACTOR '5 ECi 7nc-
CBECKIa ALL APPLICABLE
USE CATEGORY
Wing1e Family
SERVICE ONew
OChange
DDuplex
OMulti-Family
ORental
o Commercial
o Industrial
DTemporary
ONot Applicable
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
f
Receptacles #
Circuits #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK ItJ ALL APPLICABLE
ORange
OFan OR Blower
o Motors
DDishwasher
DFumace
DGas Pumps
OGarbage Disposal
DAlC
o Other
~
q t.r' ~~i~~' ., [ ;:::.~.:;'~'::!~; \ '~'::I t~\C Nl~
CG~~\'VJ~n' </ \ '" ,,!,':-c~':DW1SION
1\\IC,PFCTION SER\lI,\'.X:::>' ,. -
DESCRIPTION OF ALL WORK BEING DONElJJI're rec room
VALliE (Including labor and aII_.cri'" iad11lgh, nxwns) $ ~ moOO
MASTERELECTRICIAN '1(b/t# a Jwrrvyvl!A-
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