HomeMy WebLinkAbout0101529-ElectricOSHKOSH
ON THE WATER
.lob Address 2325 SHORE PRESERVE DR
Contractor SCHOMMER ELECTRICAL CON
Service [~ New ~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CLASSIC HOMES BY KUBA
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101529
Create Date 04/22/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/ New home wiring and service.
Work
Fees: Valuation
Issued By:
$9,425.00 Plan Approval $0.00 Permit Fee Paid
$180.00
Date 05/16/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address N 164 TWO MILE RD APPLETON WI 54914 - 9121 Telephone Number
(920) 731-2299
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
oshkosh, WI 54903~I1~0
Fax (920) 236-5084
Phone (920) 256-$046
NAY 1 5 200,7
ELECTRICAL PERMIT
All information after bold categories must be provided.
incomplete applications will not be processed.
DATE 05/15/03
JOB ADDRESS 2325 Shore Preserve
OWNER Classic Homes by Kubm: Ltd.
CONTRACTOR Schommer Electrical Contrant~ng~fInn-
CIRCLE ALL APPLICABLE
USE CATE~ORY~GLE FAMI~UPLEX
SERVICE
TYPE
NO. OF FIXTURES
AMPS 200
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
OVERHEAD NOT APPLICABLE
RECEPTACLES CIRCUITS
VOLTS_~ / _2~ PHASE single
CHECK ALL APPLICABLE
RANGE~
DISHWASHER~___
ELECTRIC SIGN__ MOTORS__
DESCRIPTION OF ALL WORK BEIN~ DONE
new home wiring
WATER HEATER ~.
FAN OR BLOWER_~_
GARBAGE DISPOSAL ~
FURNACE
GAS pUMPS
DRYER~
A/C__~
OTHER
® Submit payment with application. Failure to pay within 30 days will result in
which ever is
fees being doubled or $100.00 plus the norm~permit fee,
greater. /~0~/~$~
VALUE (Including 1~_.9~or and all.materials including light fixtures) $9.425.00
MASTER .LECT~ICI~~~' ~~~/~/ Fee Amt - $180.00
Robert A. Schommer