HomeMy WebLinkAbout0104007-ElectricOSHKOSH
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 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104007
Create Date 08/11/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/New home wiring.
Work
Fees: Valuation
Issued By:
$5,300.00 Plan Approval $0.00 Permit Fee Paid $120.00
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 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
JOB DRESS a3 l .Shore
CIRCLE ALL APPLICABLE
USE CATEGORY ~DUPLEX
SERVICE ~ CHANGE
TYPE OVERHEAD ~RG~
NO. OF FIXTURES SWITCHES
~PS ~00
MULTI -FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
VOLTS
CHECK ALL APPLICABLE
RANGE ~/ WATER HEATER
DISHWASHER ~/ FAN OR BLOWER
GARBAGE DISPOSAL / DRYER~/
/ FURNACE ~w' A/C /
ELECTRIC SIGN MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GAS PUMPS
OTHER
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Includin~ labor and all materials including light fixtures)