HomeMy WebLinkAbout0104422-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1809 HICKORY LN
SCHOMMER ELECTRICAL CON
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner THOMAS L/MARY L DEGNER
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 104422
Create Date 09/18/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for remodeling the basement to create a family room, hunting room, and bathroom.
Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval $0.00 Permit Fee Paid $80.00
Date 09/26/2003
Permit Voided
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 N 164 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.
Division of inspection Servicem
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone {920) 236-5D46
RECEIVED
SEP 2 6 200,}
DEPART~ENT OF
CO~{~D~IT¥ DEVELOPMENT
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABL~E ~
USE CATEGORY ~GLEF~_~ DUPLEX
SERVICE NEW CHANGE
MULTI-FAMILY RENTAL
TEMPORARY
COMMERCIAL INDUSTRIAL
NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND
NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS / PKASE
CHECK ALL APPLICABLE
RA/~GE WATER HEATER__ GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEIN~ DONE
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 end all meter&als including light fixtures)