HomeMy WebLinkAbout0156388-Electric � CITY OF OSHKOSH No 156388
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 3880 SHOREBIRD CT Owner KEITH&LUANN ZIEBEL Create Date O6/03/2013
Contractor SCHOMMER ELECTRICAL CONTRACTII Category 610-Residential-New Single Family Servi Plan
Inspector Adam Krause
Service New � Change � Temp � N/A � Type � Overhead � Underground I
Votts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances D/W, Disposal, Dryer, Fumace,A/C � .
I
Use/Nature of INSFR/New single family*Single story,3 car attached garage with storage area adjacent to the space. Seperate permits required for !
Work �future deck,patio or driveway. PLAN REVIEW DOES NOT INCLUDE PATIO OR DRIVEWAY. "check#7914 �
IL
Fees: Valuation $7,375.00 Plan Approval $0.00 Permit Fee Paid $189.00
Issued By: �� Date 06/26/2013
❑ Permit Voided�� Parcel Id# 1281550000
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 N164 TWO MILE RD APPLETON WI 54914 -9121 Telephone Number (920)731-2299
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 54903-1130
Phone(920)236-5050
Fa�c (920)236-5084 O HKO H
pN THF VJATFR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adequate funds, check here
�vou want this processed throu�vour account ❑
DATE 06/25/13
JOB ADDRESS 3880 Shorebird Ct
OWNER Debruin/Ziebell * via Berhoff Homes RECEIVED
CONTRACTOR _SEC, _Inc.
JUN 2 6 2013
CHECK m ALL APPLICABLE
DEPARTDIE\T OF
USE CATEGORY CO>9>iU�I7Y DEVELOP�tEVT
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial1O�S��ri�ustria��ox
SERVICE �New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable fr]Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120 / 240 Receptacles# Circuits#
Phase single
Amps 200 Switches# Fixtures#
CHECK a ALL APPLICABLE
❑Range �Dishwasher C�Gazbage Disposal �ryer ❑Water Heater
❑Fan OR Blower C�urnace f�/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE wire new home
VALUE(Including Isbor and all materials including light fiatures)$ 7,375.00
MASTERELECTRICIAN �115�[IL/v � .U��VUJ�/��ti '
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