HomeMy WebLinkAbout0154823-Electric /�`+ CITY OF OSHKOSH No 154823
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 15 ALLEN AVE Owner CYPRESS HOMES INC Create Date 03/12/2013
Contractor SCHMIT ELECTRIC LLC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service �� New � Change � Temp � N/A Type � Overhead � Underground ���
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Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
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Use/Nature of NSFR/WIRING FOR NEW HOME ""check#4551,4557
Work '
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Fees: Valuation $5,200.00 Plan Approval $0.00 Permit Fee Paid $155.00
Issued By: �(r}� Date 03l22/2013
❑ Permit Voided Parcel Id# 1516580100
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.
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Cit}�of Oshkosh �
Division of lnspection Services �
P.O. Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 �� � � ,
Fax (92r)236-5084 �..)/ �. '. \` '%i� '-_-:
� 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 pl��; the
normal permit fee, which ever is greater.
����u a�e a COnIrOaRclor parliCJpaling in !he Permit Fee accoun! Svstem and have adeairure /irncls chec•k ir�,�
%� s�u: ���,�, ri�i° ces z,:t �ti•��:�h ��our a^c�cr^t ❑ .
� DATE �.�. �� - I 3
JOB AUDRESS ' � �L�LJ �V� - .
OWNER C y PlLt�.l �-� U r►^t.S
CONTRACTOR S c la r+�i 'f l".L��"rn� L �� �
CHECK � ALL APPLICABLE
USE CATEGORY
inble Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industria�
SERVICE QQA� ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable , k7�dnderground
FII.L IN THE APPROPRIATE BLANti WITH THE NUMBER
Volts ��� / L��� Receptacles # Circuits #
Phase 1
Amps 1vC Switches# Fixtures # _
CHECK 0 ALL APPLICABLE
C�ange �Dishwasher ❑Garbage Disposal ODryer ❑Water Fieater
DFan OR Blower ❑Furnace DA/C OF.lectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE L1\� 1 � � I� jU �-� �� � ''"``
V � �� t" ��, 2 �d -- ° 1y) `!� -- :
VALUE (Including labor and all materials including light fixtures)$ ��;� Uv '
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:VIASTER ELECTRICIAN � �'n'�E� "'G ia ��7