HomeMy WebLinkAbout0157711-Electric � CITY OF OSHKOSH No 157711
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 5 ALLEN AVE Owner CYPRESS HOMES Create Date 07/24/2013
Contractor SCHMIT ELECTRIC LLC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service � New 0 Change � Temp � N/A i Type � Overhead � Underground
_ �
Volts 120/240 Circuits Luminaires
Amps 200 Switches ____ Receptacles
Appliances —
Use/Nature of NSFR/1 story home with a 2 car attached garage. A seperate permit will be required for any deck,patio or basement remodeling as it '
Work is not included in this permit.
;
�- — -- —
Fees: Valuation $5,200.00 Plan Approval $0.00 Permit Fee Paid $158.40
Issued By: Date 09/13/2013
❑ Permit Voided'i Parcel ld# 1516580300
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 W2695 EVERGREEN DR KAUKAUNA WI 54130 -9325 Telephone Number (920)740-4757
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 lnspection Services � �
P.O.Box 1130 �
Oshkosh,WI 54903-I130
Phone(920)236-5050 --
Fax (920)236-5084 � � � �--;
Q�I�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 I I 28,
Oshkosh WI 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
f vo:r ai•e a contrac�or partic�atin� in.the Permit Fee Account Svstem and have adequate �unds. check here
jvou u�an< <his processed Ihrough vour acco:�nt ❑
_ DATE / ' C'�— ��
JOB ADDRESS .�U � S/ � l-LL� J�U L'r
OWNER C_ � �.�1 � tT �-�GY� �' S
CONTRACTOR= �c la w� ► r1 L LC �'711 f C- �
CHECK � ALL APPLICABLE
USE CATEGORY
C7�le Family ODuplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
SERVICE WdVew ❑Temporary TYPE �Overhead ONot Applicable
OChange ONot Applicable �trderground
FILL (N THE APPROPRIATE BLANK WITH THE NUMBER
Volts I�U / �-�l V Receptacles#� Circuits # ,��
Phase i (' U
Amps UU .. Switches# �-�i Fixtures# 2 7
CHECK 0 ALL APPLICABLE
Cc1Bc�ge C�ishwasher �bage Disposal B�Bfyer ❑Water Heater
�Fan OR Blower C�1-umace �IC ❑Electric Sign
OMotors OGas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE w I�l E� � �v � ecJ /� C1 1/N (��
�> > �t,us 7U �' �S� � Js ��
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VALUE (Including labor and all materials including light fixtures)� � , � U L —
MASTER ELECTRICIAN �1 Y1/� � G I-I V�l I �
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