HomeMy WebLinkAbout0104008-Electric (temporary)OSHKOSH
ON THE WATER
.lob Address 2391 SHORE PRESERVE DR
Contractor SCHOMMER ELECTRICAL CON
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JACK NELSON
Category 601 - Residential-Temporary Services
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104008
Create Date 09/08/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of NSFR/Temp power service.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 09/08/2003
Permit Voided
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 N 164 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.
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1120
Fax (920) 236-5084
Dhone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE
CIRCLE ALL APPLICABLE
USE CATEGORY S~INGLE F~I~Y DUPLEX
SERVICE NEW
TYPE OVERHEAD
NO. OF FIXTURES
CHECK ALL APPLICABLE
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
CHANG~ _ MPO NOT APPLICABLE
~~RO~ NOT APPLICABLE
SWITCHES RECEPTACLES CIRCUITS
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE__ A/C__
ELECTRIC SIGN MOTORS
DESCRIPTION OF ALL WORK BEIN~ DONE
GAS PUMPS
OTHER
Submit payment with application. Failure to pay within 30 days will result
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (In=luding labor and &ll materials including light fixtures)
Electric Permit Work Card
Job Address 2391 SHORE PRESERVE DR Permit Number 104008 Create Date 09/08/2003
Owner JACK NELSON Contractor SCHOMMER ELECTRICAL CON
Category 601 - Residential- Temporary Services
Service b New 0 Change. Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Fee $20.00 ❑ Value $200.00
Appliances
Use /Nature NSFR/ Temp power service.
of Work
Inspections:
Date 09/10/2003 Type Temporary Inspector Jon Fischer approved
FAXED REQUEST. Please inspect at the end of the day on 9/8/03.
9/10/03 called in
9/15/03 mailed in
Date/Time requested: 09/08/2003 11:16 AM Notice Type: Phone Number: 731 -2299
Access:
Ready Date/Time: 09/08/2003 12:00 PM Requested by: SCHOMMER ELECTRICAL CON - Bob
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid