HomeMy WebLinkAbout0158534-Electric � CITY OF OSHKOSH No 158534
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2305 SHORE PRESERVE DR Owner SCHMIDT BROS CUSTOM HOMES Create Date 10/10/2013
Contractor THUNDER ELECTRICAL SERVICES LLC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A Type � Overhead � Underground
Volts 120/240 Circuits 24 Luminaires 39
Amps 100 Switches 33 Receptacles 48
Appliances IRange, DW,GD,dryer,furn,AC � .
,
,
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,
Use/Nature of NSFR/New single family wiring
Work II ,
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Fees: Valuation $5,605.00 Plan Approval $0.00 Permit Fee Paid $155.00
Issued By: ��� Date 10/29/2013
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❑ Permit Voided' Parcel Id# 1281260000
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 t ecure y ne ssary approvals before starting such activity.
Signature Date
Agent/Owner
Address N6923 ALLIE JO CT _____SEYMOUR WI 54165 -8470 Telephone Number (920)716-2767
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 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O.IHKO.IH
ON THF WATFR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adequate funds check here �
�vou want this orocessed throu�h vour account ❑
DATE (O` Zq — �3
JOB ADDRESS Z-3�5 Sl�o re ��cbc�v� �(
OWNER_�jC�'1�rw�d � ��o�s. L�S�Or� �"�6MtJ
CONTRACTOR�(nv nd�r E kc�n ca� �c.�✓���c C-L-C
CHECK 0 ALL APPLICABLE
USE CATEGORY
L�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE �Iew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable C�'Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts �2v / ZyQ Receptacles# �rg Circuits# Zy
Phase ( Q
Amps !Ot) Switches# �3 Fixtures# 3 I
CHECK E�(ALL APPLICABLE
�ange '�Dishwasher �Garbage Disposal �Dryer ❑Water Heater
�'F'an OR Blower �'Furnace �/C ❑Electric Sign
�Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE �e,�„j Ir1or�,t �i�� I OC� A/wje
�C��l�t °
VALUE(Including labor and all materials including light fixtures)$ �� (o��
MASTER ELECTRICIAN C�feq �Ca� �Sc�ScSd b
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