HomeMy WebLinkAbout0104648-ElectricOSHKOSH
ON THE WATER
.lob Address 1834 MICHIGAN ST
Contractor SCHOMMER ELECTRICAL CON
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ADAM R GEURTS
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104648
Create Date 08/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/ Wire new home.
Work
Fees: Valuation
Issued By:
$4,500.00 Plan Approval $0.00 Permit Fee Paid $105.00
Date 10/07/2003
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) 236-5046
ELECTRICAL
PERMIT
EtVED
OCT 0 ? ~00~
DEPART~ENT OF
¢O~v~UNITY DEVELOPMENT
Ail information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 10/06/03
JOB ADDRESS 1834 MichiKan St.
OW~-ER Adam Geurts (Superior Builders)
CONTRACTOR Schommer Electrical Contracting. Inc.
CIRCLE ALL APPLICABLE
TYPE OVERHEAD
NO. OF FIXTURES
ups ~00
COMMERCIAL INDUSTRIAL
CFIANGE TEMPORARY NOT APPLICABLE
~f~ NOT APPLICABLE
SWITCHES RECEPTACLES CIRCUITS
CHECK ALL APPLICABLE
RANGE / WATER HEATER GARBAGE DISPOSAL ~ DRYER /
D S ASHER/ BLOWER /F R ACE /A/C
ELECTRIC SIGN
MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE new home wiring
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 labo~nand all materials including light fixtures) $ 4,500.00
,/A.L~//~._~. ~.~/~f~/~ Fee Amt - $I05'00
MASTBR EL~CTRICIA~ _g
Robert A. Scho~er