HomeMy WebLinkAbout0134222-ElectricCITY OF OSHKOSH No 134222
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2316 LAKEVIEW CT Owner WAYNE/JOSEPHINE J STREY Create Date 11/17/2008
Contractor SCHOMMER ELECTRICAL CONTRACTII Category 611 -Residential-New Single Family Wirin Plan
Service ~ New Q Change Q Temp ~ N/A ^ Type ~ Overhead ~ Underground J
Volts 120 / 240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances ~2ange, Dishwasher, Furnace,
Use/Nature of
Work
Fees: Valuation~~~ ~ ~ $5,410.00 Plan Approval $0.00 Permit Fee Paid $145.00
Issued By: C`~' ~ ~ dT Date 12/01/2008
^ Permit Voided Parcel Id # 1403570000
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 pertormed within two business days from the time the project is ready.
RECEIVED
city ofoshkosh DEC 0 1 2008
Division of Inspection Services
P.O. Hox 1130 DEPARTMENT OF
Oshkosh, W154903-1130 COMMUNITY DEVELOPMENT
Phone (920) 236-5050 INSPECTION SERVICES DIVISION
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information. aftfx bold categories must be provided.
Incomplete applications will not be processed.
O1HK0 H
ON TF4F W/~TER
• 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 plc the
normal permit fee, which ever is greater.
OR
~f you are a contractor narticieatinQ in the Permit Fee Account Svstem and have adequate funds. check here
if vau want this processed throueb vour account ^
DATE I a ~0 g
CHECK H ALL APPLICABLE
US CATEGORY
Ingle Family C1Duplex Multi-Family ORental Commercial Industrial
SERVICE~1Vew OTemporary TYPE ^Overhead ONot Applicable
^Change ONot Applicable OUnderground
lr"II,L IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~ oZQ d y D Receptacles # Circuits #
Phase ~1
Amps Switches # Firtures #
CHECK i~ ALL APPLICABLE
~~ge Cibishwasher C3~Gacbage Disposal C~ihycr OWater Heater
l7Fan OR Blower OFurnace [TA/C OEtectric Sign
t]Motors OGas Pumps OOther
DESCRIPTION OF ALL WORK BEING DONE_ I,t) !!' _ 11 .ty h p,rt~
VALUE nclu `l /~ ~
(I diag tabor and atl teriala incl~iag light fatures) $ 7 ~V~ `~~y5~
MASTER ELECTRICIAN
3J02
JOB ADDRESS ~ 3 ~ U ~. ~2, V 121,1) l~l.