HomeMy WebLinkAbout0091585-Electric C") CITY OF OSHKOSH No91585
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2920 QUAIL CT Owner THOMAS W /SUSAN STARK Create Date 10/16/2001
Contractor SCHOMMER ELECTRICAL CON Category 612 - Residential - Single Family Addition /R Plan
Service Q New Q Change Q Temp Type Q Overhead Q Underground
Volts Circuits 4 Fixtures 6
Amps Switches 6 Receptacles 10
Appliances Motors
Use /Nature of SFR/ Wiring for master bedroom suite addition and a 285x24.5' addition for an inground pool.
Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $90.00
Issued By: 14 yyl Date 12/03/2001
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address N 164 TWO MILE ROAD APPLETON WI 54914 - 9121 Telephone Number (920) 731 -2299 / 585 -077f
0 Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
oN ME WATER Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
a9ao DATE 11/26/01
JOB ADDRESS x'62"9' Quail Ct.
OWNER Classic Homes by Kuba, Ltd
CONTRACTOR Schommer Electrical Contracting, Inc.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES w SWITCHES (P RECEPTACLES `0 CIRCUITS ,
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER / FURNACE A/C
ELECTRIC SIGN MOTORS V GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE wire pool room & master bedroom addition
• 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) $ 4,000.00
Fee Amt - $90.00
MASTER ELECTRICIAN Robert A. Schommer