HomeMy WebLinkAbout0154402 - Electric (wiring) CDCITY OF OSHKOSH No 154402
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2470 SHORE PRESERVE DR Owner SCHMIDT BROTHERS CUSTOM HOMES IN Create Date 01/17/2013
Contractor TEAM SERVICES INC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service
New 0
Change 0 Temp 0 N/A J Type O Overhead • Underground
Volts 120/240 Circuits 18
Luminaires 18
Amps 100 Switches 30
Receptacles 48
Appliances Range, Dishwasher, Furnace,Garbage Disposal,A/C, Dryer,Water Heater —
Use/Nature of NSFR/WIRING FOR NEW HOME **check#65824
Work
Fees: Valuation $4,200.00 Plan Approval $0.00 Permit Fee Paid $138.00
Issued By: 25)/PRA.,/
Date 02/11/2013
❑ Permit Voided Parcel Id# 1281020000
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 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
Phone(920)236-5050
Fax (920)236-5084 Of HKOf--
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 Account System and have adequate_funds, check here
if you want this processed through your account ❑
tt -Ib l 7 11 0 DATE c -5 /3 _
JOB ADDRESS ,,21170 - \-,roff-\o PCCSCt.ie Dr
OWNER .3c L vv c 4- 6,-6,5
CONTRACTOR U rn _‘;f-r u s t s
CHECK ll ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family DRental ❑Commercial ❑Industrial
SERVICEO'New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable 4aUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts f r2 0 I 0Z110 Receptacles# yg- Circuits# / gi
Phase I
Amps 100 Switches# .3 0 Fixtures# )62
CHECK E ALL APPLICABLE
Range IgDishwasher 111Garbage Disposal 'Dryer 'Water Heater
❑Fan OR Blower 'I Furnace A/C ❑Electric Sign
DMotors ❑Gas Pumps ❑Other iii DESCRIPTION OF ALL WORK BEING DONE fill ti cc N c 1/i r
l D(3
VALUE(Including labor and all materials including light fixtures) $ J y t�&o �l �V
MASTER ELECTRICIAN j o C L,. -
3/02