HomeMy WebLinkAbout0104441-ElectricOSHKOSH
ON THE WATER
.lob Address 180 190 CHERRY PARK CT
Contractor SCHOMMER ELECTRICAL CON
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RONALD C LEICHTFUSS
Category 621 - Residential-New Duplex Wiring
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104441
Create Date 09/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NEW DUPLEX/Wire new duplex.
Work
Fees: Valuation
Issued By:
$7,750.00 Plan Approval $0.00 Permit Fee Paid $150.00
Date 09/29/2003
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 Services
215 Church Avenue
P.O. BOX 1130
Oshkosh, WI 54903-1130
Fax (920} 236-5084
Phone {920) 236-504~
RECEIVED
SEP 2 9 20 i.
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 09/25/03
JOB ADDRESS 180 - 190 Cherry Park
OW~TER Classic Homes by Kuba, Ltd.
CONTRACTOR Schommer Electrical Contracting, Inc.
CIRCLE ALL APPLICABLE
CATEGORY SINGLE__FAMILY~UPLEX~MULTI-F~MILY RENTAL COMMERCIAL INDUSTRIAL
USE
SERVICE ~~-- --~ CF~NGE ~ TEMPORARY NOT APPLICABLE
TYPE OVERHEAD ~,.~UNDERGROUND_~,~ NOTAPPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS 100-amp per side VOLTS 120 / 240 PHASE single
CHECK ALL APPLICABLE
RANGE X
DISHWASHER X
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DON~
X
GARBAGE DISPOSAL X DRYER X
FURNACE X~ A/C X
GAS PUMPS OTHER
wire new duplex
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plu~ the normal permit fee, which ever is
greater.
VALUE (Including labor.~____and all materials including light fixtures) $7,750.00
ELECTRiCiA/~/~/~.~__~?/c~t.z (-;~'~ Fee ~t - '150.00
~ST~R
Robert A. Scho~er