HomeMy WebLinkAbout0151637 - Electric (new home) 0 CITY OF OSHKOSH No 151637
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2378 SHORE PRESERVE DR Owner SCHMIDT BROTHERS CONSTRUCTION Create Date 08/02/2012
Contractor TEAM SERVICES INC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service • New 0 Change 9 0 Temp 0 N/A Type 0 Overhead •Volts 120/240 Underground
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(TS!JOB#78541) **check#65441
Work
Fees: Valuation 4,200.00 Plan Approval
6 � $0.00 Permit Fee Paid $128.00
Issued By:
Date 08/10/2012
❑ Permit Voided 1
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 iii: y ne - • appr�vals b ore tarting such activity.
Signature _ g
Date �3 �l V�f
^ / Z
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 1130 \
Oshkosh, WI 54903-1130 ( 1I
Phone(920)236-5050 ��
Fax (920)236-5084 �
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ELECTRICAL PERMIT APPLICATION ON `H `.ATFIZ
151 UU 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
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00
normal permit fee, which ever is greater. 1 128'
OR
plus the
ou are a contractor •artici•atinf in the Permit Fee Account S stem and have ade.uate unds
i ou want this rocessed throw h our account
❑ check here
JOB ADDRESS . ,j 7 5) S L DATE �'l�-
�'C lee cr� t: C� r-
OWNER I
r 1ec f r rJONTRACTOR
r e�J� r
Co r o c^�v S `
CHECK 0 ALL APPLICABLE r(.5
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family DRental ❑Commercial ❑Industrial
SERVICE 4PNew ❑Temporary
❑Change Not Applicable TYPE DOverhead ❑Not Applicable
'aUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /a O / .290
Phase / Receptacles# _
Circuits
Amps ,?Q�
Switches
Fixtures
CHECK Ei ALL APPLICABLE
Range -$Dishwasher
DFan OR Blower °®Furnace6arbage Disposal
r /C wryer INWater Heater
DMotors ❑Gas Pumps DOther DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE . r c e
VALUE (Including labor and all materials including light fixtures) $ j t2 6
eC lo?�a o
MASTER ELECTRICIAN ij ..;: C
3/02