HomeMy WebLinkAbout0134284-ElectricCITY OF OSHKOSH No 134284
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3805 SHOREBIRD CT Owner CLASSIC HOMES BY KUBA Create Date 12/05/2008
Contractor SCHOMMER ELECTRICAL CONTRACTII Category 611 -Residential-New Single Family Wirin Plan
Service New 0 Change Q Temp 0 N/A Type Q Overhead 0 Underground ~
Volts 120 / 240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
Use/Nature of
Work
rurnace, varnage oisposai, A/c, Dryer
R /WIRING FOR
Fees: Valuation $9,890.00 Plan Approval $0.00 Permit Fee Paid $213.00
Issued By: (~~~-- Date 12/05/2008
..~
^ Permit Voided ~ Parcel id #
In the performance of this work I agree to perform ail 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
Address N164 TWO MILE RD
Agent/Owner
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 05hlCOSh
Division of Inspection Services
P.O. Box 1130
Oshkosh, Wt 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
RECEIVED
DECO 1 2008
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
ELECTRICAL PERIV~IT APPLICATION
All information after hold categories must be provided.
Incorr~lete applications will not be processed.
O HKO H
ON THE WnTER
• 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 plus the
normal permit fee, which ever is greater.
oR
/f you are a contractor particepatin~ i>t the Permit Fee Account Svstem and have adequate (ands. check here
if you want this processed throueh your account ^
QQ I- DATE ~ afa
JOB ADDRESS ~y~5 ~ 1'30x2 ~ 1
OWNER C ~QSs-G ttbYY~SbU tuba
CONTRACTOR ~ EG, L_
CHECK Bl ALL APPLICABLE
USE CATEGORY
~ingle Family ^Duplex ^Multi-Family DRental ^Commercial DIndustrial
SERVICE view OTemporary TYPE ^Overhead ONot Applicable
^Change ONot Applicable DUnderground
FQ.L IN THE APPROPRIATE BLANK WITH THE IYiJMBER
V offs o~ O ~ 4 v Receptacles #
Phase
Amps 2 Switches #
CHECK ®ALL APPLICABLE
L7f~ange C3Dishwasher
OFan OR Blower [~urnaee
Motors l]Gas Pumps
~~ Disposal
^Other
Circuits #
Fixtures #
Oyer Water Heater
~Eiectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~~ %~~Ql.) /')O17~_
VALUE (Iaeludiag Isbor and all materials including Iighi Catures) $ ~~ ~ ~OsG l~oZ
MASTER ELECTRICIAN
3/02