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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
110727
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
Service
18 New
120/240
0 Change
0 Temp
Owner RUSCH HOMES LLC Create Date 09/02/2004
Category 611 - Residential-New Single Family Wiring Plan
10 Overhead
0 N/A Type . Underground
Circuits 0 Fixtures 0
Switches 0 Receptacles 0
1115 HEIDI HAVEN DR
Contractor
CUMINGS ELECTRIC INC
Volts
Amps
200
Appliances
Use/Nature of NSFR/ Wiring for New single family with attached garage.
Work
Fees: Valuation
$4,000.00
Plan Approval
$0.00
Permit Fee Paid
$98.00
Issued By:
Date 09/23/2004
U Permit Voided I
Parcelld # 1342506700
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
PO BOX 749
NEENAH
WI 54957 - 749
Telephone Number
920-722-1240
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.
Electric Permit Work Card
Job Address 1115 HEIDI HAVEN DR
Permit Number 110727 Create Date 09/02/2004
Owner RUSCH HOMES LLC
Contractor CUMINGS ELECTRIC INC
Category 611 - Residential-New Singie Family Wiring
Service p New O..?hangeO Temp ON/A I Type 0 Overhead
Volts 120/2'cQ Circuits 0
Amps 200 Switches
. Underground ON/A
Fixtures
Receptacles 0
Value $4,000.00
-
Fee
~D
Appliances
Use/Nature
ofWork
~SFR/ Wiring for New single family with attached garage.
Inspections:
Date 01/31/2005
Type Final
Inspector Jon Fischer
approved
I~~""'
Date/Time requested: 01/28/2005 01:46 PM
Access:
Notice Type:
Phone Number: not given
Ready Date/Time: 01/28/2005 01 :46 PM Requested by:
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.
Electric Permit Work Card
Job Address 1115 HEIDI HAVEN DR
Owner RUSCH HOMES LLC
Penmit Number 110727
Create Date 09/02/2004
Contractor CUMINGS ELECTRIC INC
Category 611 - Residential-New Single Family Wiring
Service p New
0 ?hangeO Temp 0 N/A
I Type 0 Overhead
Fee
$98.00
D
. Underground 0 N/A
Fixtures 0
Receptacles
Value $4,000.00
J
Volts
120/24B
Circuits 0
Amps
200
Switches
Appliances
Use/Nature
of Work
NSFR/ Wiring for New single family with attached garage.
Inspections:
Date 09/23/2004
Type Note
Inspector Kevin Benner
approved
REQUEST LINE FOR SERVICE INSPECTION / PERMIT NOT YET ISSUED
Faxed to WPS 9/23/04,Mailed 9/27/04
Date/Time requested: 09/22/2004 01 :39 PM
Access:
Notice Type:
Phone Number: NANCY 231-5946
Ready Date/Time: 09/22/2004 01 :39 PM Requested by:
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.
Date 10/26/2004
Type Rough In
Inspector Jon Fischer
no time
REQUEST LINE / READY 10/26, PM
Date/Time requested: 10/26/2004 07:30 AM
Access:
Notice Type:
Phone Number: NOT GIVEN
Ready Date/Time: 10/26/2004: PM Requested by:
--
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
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