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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 103835
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
23112315 PATRIOT LN
Owner
MIDWEST GENERAL CONTRACTORS
Create Date 07/23/2003
Contractor
CUMINGS ELECTRIC
Category 621 - Residential-New Duplex Wiring
Plan
Service
10 New
120/240
0 Change
0 Temp
Type
10 Overhead
0 Underground
Volts
Circuits
Fixtures
Amps
100
Switches
Receptacles
Appliances
Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer and A/C.
Use/Nature of DUPLEX! Wiring and service (including temp service) for new twindominium. * Job #5957.
Work
Fees: Valuation
$7,400.00
Plan Approval
$0.00
Permit Fee Paid
$150.00
Issued By:
Date 09/02/2003
U Permit Voided I
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 1414 COUNTY RD JJ
NEENAH
WI 54957 - 749
Telephone Number
231-5946
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.
Sep 02 03 OB:05a
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ELECTRICAL PERMIT APPLICATION
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,Jon ADDRESS 2315-11 PATRIOT LN
OWNJ::R MIDWEST GENERAL CONTRACTORS
CONTRACTOR CUMINGS ELECTRIC INC,
DATE 09/0~/O3
JOB NO, 5957
CH!:CK ALL APPLICABLE
USE CA!t'EGORY: SINGLP. fAMILYO DUl'LEX~ MULTI"['"AMILYO ¡¡"mALO
COMMERCIALO INÇJUs'rRIALO
SERVICE: NEW I2J CHANm: 0 TEMPORARY I2J NOT APPLICABLE 0
'1'YI?E:
OVEJUIF'.I\D 0
UNDERG1\O!JND ~
NO~ ^PPLICABL~ [J
NUMBER OF
FIX'!'URF.S ~
SW1TCIlf.S ~
1\P.c:r:,l'TACLEt; ß
CIHcmTS ß
AMPS 2-100
Vox.'1'S 120/240
PHASE 1
CHECK ALL APPLICABLE
RANGE 181
WATER HEATE1\ 181
CARBAGE IJI~;POSAL 181
VHyr,R 181
DlSrlWASHER 181
b:L,I,CTRIC SIC;N [J
t'AN OR BLOWE1\ IZI
r-URNACE ~
AI c: IZI
MOTORS 0
GAS PUMPS 0
OTHER
DeSCRXPTIO~ OF ALL WON( BEI~G J;>OIΠNEW TWINDO
VALUE (tnc1udinq lal;>or and a11 ....teriah including light futures) :>7400,00
P'OMt.. ""*:
MASTER :¡;LECTRICIAN RICHARD J WENZEL
5ubmiL p"ymenr with application, t'iiilure to p,'y WiLhin 30 days will ,'",",ult, in
t"",., being doubled or $100,00 plus the normal permit tee, whi'~h ev"r is 9<".",lt,cr.
OR
U!:.:.<,k i!','.!,é!...,J/ Y"!'...'!.!!!.!.[_,t/¡is 1"""":<"i;"""I.--~,IJ.,~!,(th Y','!!.!....:!',""'IIIi,'" I8J
IIOr), ()'n,O-75Jc--oOOOD
Electric Permit Work Card
Job Address 23112315PATRIOTLN
Owner MIDWEST GENERAL CONTRACTORS
Permit Number 103835 Create Date 07/23/2003
Contractor CUMINGS ELECTRIC INC
Category 621 -'Residential-New Duplex Wiring
Service p New 0 ChangeO Temp 0 N/A I Type 0 Overhead
Volts 120/240 Circuits 1
Amps 100 Switches
. Underground 0 N/A
Fixtures
Fee
$150,00 D
Receptacles
Value
$7,400,00
Appliances
Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer aod AIC,
Use/Nature
01 Work
DUPLEX! Wiring and service (including temp service) lor new twindominium, . Job #5957,
Inspections:
Date 09/03/2003
Type Temporary
Inspector Jon Fischer
not approved
REQUEST LINE. Caled Dick about junk service & W.p, covers.
Datemme requested: 09/02/2003 08:12 AM
Access:
Notice Type:
Phone Number:
Ready Datemme: 09/02/200308:12 AM Requested by:
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMiNGS ELECTRIC - JAN
- --- ----- - - - - --- - - - - -- - - - - - - - --- - - - - - -- ---- - - - - - ------- - - - - - - -- - - -------- - - - - ------.
Date 09/17/2003
Type Temporary
Inspector Jon Fischer
approved
9/17/03 called in
9/22/03 mailed in
DatelTime requested: 09/17/2003 12:28 PM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 09/17/2003 12:28 PM Requested by:
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
- - - - - - - -- - - - - - - ---- - -- - - - - - - - ----- - - - - - - - - - - - - - ---- - - - ---- - - - - - - - - - --- - - - - - - -------.
Electric Permit Work Card
Job Address 23112315 PATRIOT LN Permit Number 103835 Create Date 07/23/2003
Owner MIDWEST GEN1=RAL CONTRACTORS
Contractor CUMINGS ELECTRIC INC
Category 621 - 'Residential-New Duplex Wiring
Service p New
Volts 120/240
Circuits
I Type 0 Overhead
1
. Underground 0 N/A
0 ChangeO Temp 0 N/A
Fixtures
Amps
100
Switches
Receptacles 1
$7,400,00
Fee
$150,00 0
Value
Appliances
Range, Dishwasher, Water Heater, Fan or Blower, Garbage Oisposal, Fumace, Dryer and AIC,
Use/Nature
of Work
DUPLEX! Wiring and service (including temp service) for new twindominium, 'Job #5957,
Inspections:
Date 10/21/2003 Type Rough In
I"OO'~""
DatelTime requested: 10/21/2003 07:51 AM
Access:
Inspector Jon Fischer
no time
Notice Type:
Phone Number:
Ready DatelTime: 10/21/200307:51 AM Requested by:
0 Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
CUMINGS ELECTRIC - Jan
- ---- - - - --- ------ - - - - ------ - - - - - - - - - - - - --- -- - - - - - - - - ----- - - - - - - - - - - - - - ----------- - -,
Date 10/23/2003
Type Service
Inspector Jon Fischer
approved
REQUEST LINE.
10/23/03 called in
10/27/03 mailed in
DatelTime requested: 10/23/2003 06:52 AM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 10/23/2003 06:52 AM Requested by:
--
0 Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
CUMINGS ELECTRIC - Jan
-- - - - - - - - - - - - - - - - - - -- - - - - - - - -- -- -------- - - - - - - ----- - - - - - - -------------- - - - - - - - - - -- -.
Electric Permit Work Card
Job Address 23112315PATRIOTLN
Owner MIOWEST G5NÊRAL CONTRACTORS
Permit Number 103835 Create Date 07/23/2003
Contractor CUMINGS ELECTRIC INC
Category 621 - Residential-New Duplex Wiring
Service b New
Volts 120/240
Circuits
I Type 0 Overhead
1
. Underground 0 N/A
Fixtures 1
Receptacles
Value $7,400,00
0 ChangeO Temp 0 N/A
Amps
100
Switches
Fee
$150,00 0
Appliances
Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer and AfC,
Use/Nature
of Work
DUPLEX! Wiring and service (including temp service) for new !windominium, "Job #5957,
Inspections:
Date 12/12/2003 Type Final
rw'~ ""
DatelTime requested: 12/1012003
Access:
Inspector Jon Fischer
approved
07:56AM
Notice Type:
Phone Number:
Ready DatelTime: 12/10/200307:56 AM Requested by:
0 Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
CUMINGS ELECTRIC INC - Jan
----- - - - - - - - - - - - - - ---- -- -- - - - - - - - - ------ --- - - - - - - - - - - - - - - - - -- - ---- - ---- - - - - - - - - - ---.