HomeMy WebLinkAbout0091818-Electric/~"~ CITY OF OSHKOSH No 91818
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1360 JUDY LEE CT Owner Create Date 11/26/2001
Contractor SCHOMMER ELECTRICAL CON Category 611 -Residential-New Single Family Wirin Plan
Service New Q Change ~ Temp Type ~ Ovefiead ~ Underground
Volts 120/240 Circuits Fixtures
Amps 200 Switches Receptacles
Appliances
Use/Nature of
Work
tinge, Water heater, Garbage Disposal, Dryer, Dishwasher, Fan/Blower, Furnace & A/C.
Fees: Valuation $5,075.00 Plan Approval $0.00 Permit Fee Paid $120.00
Issued By: _1~Yy~ Date 12/13/2001
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address N 164 TWO MILE ROAD
AgenUOwner
APPLETON WI 54914 -9121
Telephone Number (920) 731-2299 / 585-077E
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
ON THE WA ER
Phone (920)
236-5046
ELECTRICAL PERMIT APPLICATION
All information a-f ter bold categories must be provided.
Incomplete~~applications will not be processed.
JOB ADDRESS 1360 Judy Lee
OWNER Gallery Homes., LLC
CONTRACTOR Schommer Electrical Contracting, Tnr.
DATE 12/12/01
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY UPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS 200 VOLTS 120 / 240 PHASE Single
CHECK A,L/L APPLICABLE /
RANGE. " WATER HEATER ~ GARBAGE DISPOSAL V
DISHWASHER / FAN OR BLOWER FURNACE
ELECTRIC SIGN
MOTORS GAS PUMPS
DRYER
A/C~
OTHER
DESCRIPTION OF ALL WORK BEING DONE new home wiring
• 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 (Including labor and all materials including light fixtures) $ 5,075.00
Fee $120.00
MASTSR ELECTRICIAN
Robert A. Schommer
Electric Permit Work Card
Job Address 1360 JUDY LEE CT Permit Number 91818 Create Date 11/26/2001
Owner Contractor SCHOMMER ELECTRICAL CON
Category 611 -Residential-New Single Family Wirirr
Service New Q ChangeQ Temp Q N/A Type ~ Overhead ~ Underground Q N/A
Volts 120/240 Circuits Fixtures
Amps 200 Switches Receptacles
Fee $120.00 ~ Value $5,075.00
Appliances ange, Water heater, Garbage Disposal, Dryer, Dishwasher, FaNBlower, Furnace & A/C.
Use/Nature SFR wiring
of Work
Inspections:
Date 12/13/01 Type Service Inspector Jonathan Fischer ~/ Approved
12/13/01 called
12/17/01 mailed