HomeMy WebLinkAbout2011-Electric CITY OF OSHKOSH No 144737
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 472 WYLDEWOOD DR Owner GERALD & CAROL JOHNSON Create Date 01/25/2011
Contractor SCHOMMER ELECTRICAL CONTRACTII Category 633 - Residential - Multi- Family Addition /Re Plan
Service ❑ New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches
Receptacles
Appliances
Use /Nature of CONDO/ Remodeling the basement to create a sewing /craft room, bathroom and laundry area. *The sewing /craft room is not reviewed
Work and /or approved to be used as a bedroom. **check #7591
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: & Date 01/25/2011
❑ Permit Voided Parcel Id #
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 performed within two business days from the time the project is ready.
City of Oshkosh RECEIVED
Division of Inspection Services
P.O. Box 1130 JAN 2 5 2011
Oshkosh, WI 54903 -1130 DEPARTMENT OF
Phone (920) 236 -5050 COMMUNITY DEVELOPMENT O O
Fax (920) 236 -5084 INSPECTION SERVICES DIVISION ON THE tNATF
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• 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
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ❑
DATE 01/24/11
JOB ADDRESS 4 2 W dew • •
OWNER Jerry & Carol Johnson
CONTRACTOR SEC, Inc.
CHECK 0 ALL APPLICABLE
USE CATEGORY
El Single Family ❑Duplex ❑Multi - Family DRental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE finished basement wiring
VALUE (Including labor and a p terria h ls including light fixtures) $1 , 200.00 * ** Fee $ 77.00
MASTER ELECTRICIAN U k �/' Li ` J�J
Robert A. Schommer
3/02