HomeMy WebLinkAbout0152273 - electric (wiring new house) CITY OF OSHKOSH No 152273
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 27 ALLEN AVE Owner CYPRESS HOMES INC Create Date 08/09/2012
Contractor SCHMIT ELECTRIC LLC _ - Category 611 -Residential-New Single Family Wiri • Plan
Inspector Adam Krause
Service • New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground
Volts 120/240 Circuits 16 Luminaires 12
Amps 100 Switches 24 Receptacles 30
Appliances Range, Dishwasher, Furance,Garbage Disposal,A/C, Dryer
Use/Nature of NSFR/WIRNG FOR NEW HOME **check#4306
Work
Fees: Valuation $4,982.00 Plan Approval $0.00 Permit Fee Paid $129.71
Issued By: < 7Y ) (A..) Date 09/11/2012
[] Permit Voided Parcel Id# 1516570000
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 W2695 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 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 sh WI
Oshkosh, W 1 54903-1130
....141111611".)
Phone(920)236-5050
Fax (920)236-5084
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 1 128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and hare adequate funds, check here
if you want this processed through your acct'tnt ❑
DATE 1 /
JOB ADDRESS . 2 1 f L Lt./3 n U
OWNER C.4`0At'ss )l ova
CONTRACTOR S c 14 rvl I -r t,
CHECK 0 ALL APPLICABLE
USE CATEGORY
Lingle Family Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE li'N w ❑Temporary TYPE ❑Overhead ❑Not Applicable
Change ❑Not Applicable CUrfderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 12 U / : .t-/(J Receptacles # 3 U Circuits # �` l r
p
Phase
Amps 1 vU Switches # ) �'� Fixtures # I
CHECK 23 ALL APPLICABLE
l .Range 1315ishwasher ls�arbage Disposal wryer ❑Water Heater
❑Fan OR Blower IJfurnace CIASC DElectric Sign
❑Motors ❑Gas Pumps ❑Other s '
DESCRIPTION OF ALL WORK BEING DONE w In( 14 jJ et,-1 Noryi r"
VALUE (Including labor and all materials includi.tg light fixtures)$ L')• 1 2-- PE.1.1 0111
MASTER ELECTRICIAN \ I r C-1-4 11