HomeMy WebLinkAbout0155088 - Electric CITY OF OSHKOSH No 155088
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2410 SHORE PRESERVE DR Owner SCHMIDT BROTHERS CONSTRUCTION Create Date 04/12/2013
Contractor TEAM SERVICES INC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service • New O Change O Temp ❑ N/A Type O Overhead • Underground
Volts 120/240 Circuits 15 Luminaires 15
Amps 100 Switches 27 Receptacles 45
Appliances Range, Dishwasher,Furnace,Garbage Disposal,A/C, Dryer,Water Heater
Use/Nature of NSFR/WIRING FOR NEW HOME **check#65976
Work
II
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By: 25"m Lip Date 04/17/2013
❑ Permit Voided Parcel Id# 1281080000
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 WI 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 VlqkiTYAIP
ON THE WATER
ELECTRICAL PERMIT APPLICATION APR 17 2013
p All information after bold categories must be provided.
75 Tob4 79 a 1'Z Incomplete applications will not be processed.
DEPARTMENT OF
COMMUNITY DEVELOPMENT
• Application(s) and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection)> ate RQat nslrifiNov
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 ❑
DATE
JOB ADDRESS o?)L/U j r f Pr r r r v c.
OWNER _6( V.w cL7 &C
CONTRACTOR 7-3-"4".v\ �t'r'U t r
CHECK E ALL APPLICABLE
USE CATEGORY
Single Family ODuplex DMulti-Family ❑Rental ❑Commercial ❑Industrial
SERVICE New ❑Temporary TYPE ❑Overhead ONot Applicable
❑Change ❑Not Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / D / g2 q 6 Receptacles# 1 .5 Circuits# /S
Phase
Amps /66 Switches# 07 7-7
Fixtures#
CHECK El ALL APPLICABLE
,IgRange 'Dishwasher Garbage Disposal IgiDryer Water Heater
DFan OR Blower Infurnace ,-A/C DElectric Sign
❑Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE i- ( 1`L /'JCL)
� ,r�/Q / 0
VALUE (Including labor and all materials i cl :'ng light fixtures) $ 060 /(? / /
MASTER ELECTRICIAN SI B( � /
3/02