HomeMy WebLinkAbout0154729-Electric � CITY OF OSHKOSH No 154729
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 11 ALLEN AVE Owner CYPRESS HOMES INC Create Date 02/01/2013
Contractor SCHMIT ELECTRIC LLC __ Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service New � Change � Temp � N/A � Type 0 Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
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Use/Nature of NSFD/New single family*1 story,2 car attached garage. No deck or patio included with this permit. "check#4549 ',
Work ,
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Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $155.00
Issued By: ��,V Date 03/18/2013
❑ Permit Voided I Parcel Id# 1516580200
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
AgenUOwner
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.
. Ciry of Oshkosh �
Division of Inspection Services � �
P.O. Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone(920)236-5050
Fax (920)236-5084 � �; %1--,
C����K�_„ �
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
[ncomplete 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 I 28, '
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal per�nit fee,which ever is greater.
OR
lf vou are a con�raclor parlicipating in.the Permil Fee Account Svslem and have adequate funds check here
iLvou u�an� �his processed through your account ❑
" DATE
3 - 1l - �3 '
JOB ADDRESS . 1 I Y"' ���f � U��
OWNER C�� �"tll E S S �-I G►1'1 E �
CONTRACTOR Sc I-I rv��� t�-�� 1)� � �
CHECK �ALL APPWCABLE
USE ATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE �lew �Temporary TYPE OOverhead �Not Applicable
❑Change ❑Not Applicable Q�erground
FII,L IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ��U / ��-� Receptacles# sU Circuits # 2 �
Phase [
Amps 2C� , Switches# 3� Fixtures # ��
CHECK 0 ALL APPLICABLE
Q�ge E�shwasher .�P,arbage Disposal C�ryer ❑Water Heater
❑Fan OR Blower C-a'Furnace Q�C ❑Electric Sign
❑Motors ❑Gas Pumps OOther
DESCRIPTION OF ALL WORK BEING DONE �.tJ � �l t I� iU t.v /-��r1r
VALUE(Including labor and all materials including light fixtures)� �� ��� "
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MASTER ELECTRICIAN �� � ��I-� Y'1��-