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OSHKOSH
ON THE WATER
Job Address 1237 LIBERTY ST
CITY OF OSHKOSH
No
123345
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
p New
o Change 0 Temp
Owner LOIS P/PATRICIA C HODGELL LIFE ESTAl Create Date 01/03/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 7 Luminaires 7
Switches 5 Receptacles 7
Contractor CUMINGS ELECTRIC INC
Volts
Amps
Appliances Range, water heater, garbage disposal, fan
Use/Nature of SFRI Remodeling the kitchen and bathroom*. The 2nd floor bathroom and the kitchen will be gutted and redrywalled and insulated.
Work *DEBIT ACCT**.
Fees: Valuation
$1,500.00
O/y)(,~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 01/29/2007
D Permit Voided I
Par~1 Id # 1203680000
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 920-231-5946
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 receivep. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Cumings Electric Inc
920-722-0769
Divisicn of Inspectio~ Services
215 C~urcn Avenue
F_O. Boy. 113.:)
Oshkosh, WI 54903-1130
Fay. (920) 236-5084
Pho~e (920) 236-5046
ELECTRICAL PERMIT APPLICATION
Al~ infor~ation after bold categories must be ?rovided.
Incomplete a?plicaticns will not be precessed.
JOB ADDRESS 1237 Uberty St.
OWNER Stanlev Leach
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 01/29/07
JOB NO. 2015
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY~
COMMERCIALD
SERVICE: NEW 0 CHANGE 0
DUPLEX[] MULTI-FN~ILY[] RENTAL[]
INDUSTRIAL[]
TEMPORARY [] NOT APPLICABLE ~
TYPE:
OVERHEAD 0
UNDERGROUND 0
NOT APPLICABLE []
NUMBER OF FIXTURES Z SWITCHES ~ RECEPTACLES Z CIRCUI~S 7
AMPS
VOLTS .L
PHASE
CHECK ALL APPLICABLE
RANGE ~ WATER HEATER ~ GARBAGE DISPOSAL ~
DRYER 0
DISEWASHER [] FAN OR BLOWER ~ FURNACE 0
ELECTRIC SIGN 0 MOTORS [] GAS PUtvIPS '0
Ale []
OTHER
DESCRIPTION OF ALL WORK BEING DONE Remodelinq kitchen and bath
VALUE (Including labor and all mater~als includ~ng light fixtures) $1500.00
PERMIT FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
p. 1
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.
OR
Check here if 'ou lA'an t this rocessed throuqh
#100-0750-2515-00000
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