HomeMy WebLinkAbout0100812-ElectricOSHKOSH
ON THE WATER
.lob Address 2405 HEARTHSTONE DR
Contractor SCHOMMER ELECTRICAL CON
Service [~ New ~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KURTA KOEPPLER
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100812
Create Date 03/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace & A/C
Use/Nature of NSFR/New home wiring.
Work
Fees: Valuation
Issued By:
$4,500.00 Plan Approval $0.00 Permit Fee Paid
$105.00
Date 04/15/2003
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
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5046
Ail
R~ ~'"'-r "~?'''' 'C' '
information after bold categories must ~k~'.D~Q~0~]
Incomplete applications will not be pro~wuu-
DATE 04/14/03
JOB ADDRESS 2405 Hearthstone
OWNER Curtiss Homes
CONTRACTOR Schommer ElectCical Contra~ting:
CIRCLE ALL APPLICABLE
USE CATEGORy<~~>~~ DUPLEX
S E RVI C E ~~-----~' C HANG E
TYPE OVERHEAD ~ UNDERGROUND
NO. OF FIXTURES SWITCHES
AMPS 200
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
> NOT APPLICABLE
RECEPTACLES CIRCUITS
VOLTS__12D__/ 240 PHASE single
CHECK ALL APPLICABLE
RANGE ~/ WATER HEATER GARBAGE DISPOSAL_ . DRYER
IS WASH R OR LOWER
ELECTRIC SIGN
MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEIN~ DONE
new home wiring
submit payment with application. Failure to pay within 30 days will resul~ in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and all ~ateri&ls including light fixtures) $4,500.00
M.A.T.~R .~L.C?R..r CiAN 7~~ ~j~ ~ ~~.fF~~ Fee Amt-$105.00
Robert A. Schommer