HomeMy WebLinkAbout0151636 - Electric (wiring for new home) el) CITY OF OSHKOSH No 151636
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2384 SHORE PRESERVE DR Owner SCHMIDT BROS Create Date 08/06/2012
Contractor TEAM SERVICES INC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service • New O Change O Temp O N/A Type O Overhead • Underground
Volts 120/240 Circuits 18 Luminaires 18
Amps 200 Switches 30 Receptacles 48
Appliances Range,Dishwasher,Furnace,Garbage Disposal,A/C,Dryer,Water Heater
Use/Nature of NSFR/WIRING FOR NEW HOME(TSI Job#78546) **check#65441
Work
Fees: Valuation $4,200.00 Plan Approval $0.00 Permit Fee Paid $128.00
Issued By: .5+ ' L/ Date 08/10/2012
Permit Voided I Parcel Id# 1281100000
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 secnee nary a ovals fore starting such activity.
Ley �( , j O A
Signature Date
Agent/Owner
Address 2602 AMERICAN DR APPLETON WI 54914 -9010 Telephone Number (920)738-5885
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
Division of Inspection Services
P.O. Box 1 130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of_/\\D fl I
��JJ ON THE WATER
ELECTRICAL PERMIT APPLICATION
n 7� �r-1� y{ 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 El
ff DATE $ /v" (-2.-
JOB ADDRESS a7 3 8 4'/ 6 ha rc -Pi^rs e-f c-•
OWNER .. LA-.,do g r o 5
CONTRACTOR /e'a pt4_ r r 0 re z I
CHECK 0 ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family DRental DCommercial ❑Industrial
SERVICE mew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable `Jnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / 2C) //Z4 b Receptacles# q d Circuits# /cP
Phase /
Amps 61700 Switches# 3 6 Fixtures# 41/
CHECK 0 ALL APPLICABLE
421Range ,IDishwasher -3,Garbage Disposal /ttf ryer Water Heater
❑Fan OR Blower furnace '4/C ❑Electric Sign
DMotors DGas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Lt_.) t-Pot ,.,s e f "1c 44fr.- _
VALUE (Including labor and all materials including light fixtures) $ 912O0 /---r"r° / 2..9
MASTER ELECTRICIAN L/�c
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