HomeMy WebLinkAbout0101704-ElectricOSHKOSH
ON THE WATER
,Job Address 2600 HEARTHSTONE DR
Contractor SCHOMMER ELECTRICAL CON
Service [~ New ~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KURTA KOEPPLER
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101704
Create Date 04/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/New home wiring.
Work
Fees: Valuation
Issued By:
$4,500.00 Plan Approval
$0.00 Permit Fee Paid
$105.00
Date 05/22/2003
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
Fax (920) 236-5084
Phone (920) 236-5046
Ail
~4Y
ELECTRICAL PERMIT APPLICATION
information after bold categories must be
Incomplete applications will not be
~ 05/20/03
JOB ADDRESS 2600 Hearthstone
OWNER Curtiss Homes
CONTRACTOR Schommer Electrical Contracting, Inc.
CIRCLE ALL APPLICABLE
USE CATE~OR~INGLE ~ DUPLEX
SERVICE ~ ~ CHANGE
TYPE OVERHEAD ~~DE RG~
NO. OF FIXTURES SWITCHES
AMPS 200
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
120 / 240 PHASE single
VOLTS
CHECK ALL APPLICABLE
~oE Y WATE~ HEAT~.~ O~BAOE DISPOSAl, / DRY~,~ /
DISHWASHER JF~ O~ ~LOWER ~U~AC~. / A/q J
E~,ECT~-C SIS~ ~OTO~S OAS ~PS__ OT~E~
DESCRIPTION OF ALL WORK BEIN~ DONE
new home wiring
e
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and all materi&ls including.light fixtures) $4,500.00
~.~}~>0, ~ J~]~"~-" Fee Amt - $105.00
MASTER I~L~CTRICIAN .
Robert A. Schommer