HomeMy WebLinkAbout0151591 - electric (remodeling to basement) Ci) CITY OF OSHKOSH No 151591
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 103 ALLEN AVE
Owner CYPRESS HOMES INC Create Date 08/07/2012
Contractor SCHMIT ELECTRIC LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service p New 0 Change 0 Temp • N/A 1 Type O Overhead O Underground
Volts
Circuits Luminaires
Amps
Switches Receptacles
Appliances 1
Use/Nature of 1SFR/Remodeling the basement to include a rec room area **check#4264
Work
I
Fees: Valuation 1,038.00 Plan Approval $0.00 Permit Fee Paid $77.00
Date 08/08/2012
Issued By:
0 Permit Voided I Parcel Id# 1516560000
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 is p-rmit applicati n within a e ement,the City strongly urges the permit applicant to contact the easement
holder(s)an• to s=cure any nec ary app o als before s such activity. /
Signature Date ea/
Agent/Owner
Address 2695 EVERGREEN DR KAUKAUNA WI 54130 -9325 Telephone Number (920)687-0700
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type
phof
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name
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
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 �Jf��JH
Fax (920)236-5084
ON THE WATER
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 $100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Accouni System and have adequate funds. check here
if you want this processesf through your account ❑
DATE e - -7
JOB ADDRESS I O
OWNER CI 1�ti€ 3 I� C,Mk _J
CONTRACTOR S cl-) i 1 (r L t L 7 At k 1-1
CHECK El ALL APPLICABLE
USE CATEGORY
Cli g1e Family ODuplex ❑Multi-Family DRental ❑Commercial ❑Industrial
SERVICE ONew [Temporary TYPE ❑Overhead ONot Applicable
OChange [Not Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ODishwasber OGarbage Disposal . ❑Dryer OWater Heater
OFan OR Blower ❑Furnace OA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Ui It f LG L.) Eq Le-t,ri
VALUE(Including labor and all mat including li ht ures)$ i/ 0 3 —
MASTER ELECTRICIAN
3/C2