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OSHKOSH
ON THE WATER
Job Address 3151 ELK RIDGE DR
CITY OF OSHKOSH
No
123483
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MIDWEST GENERAL CONTRACTORS
Create Date 05/18/2006
Contractor
CUMINGS ELECTRIC INC
Category 630 - Residential-New Multi-Family Servio Plan
Service
b New
120/240
Circuits
o Change . Temp
o N/A
Type 0 Overhead
o Underground
Volts
Luminaires
Amps
100
Switches
Receptacles
Appliances
UselNature of COMM/8-unit Multifamily * State Trans ID # 1266970. Temporary Service. **DEBIT ACCT**.
Work
$100.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Fees: Valuation
Issued By:
~
Date 02/12/2007
o Permit Voided I
Parcelld #
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
AgenUOwner
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 received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~~b ,~~2~~: 0I"5p
D~vis~on of :ns~ection Services
215 Churc~ Aven~e
P.O. Box 1130
()~~K()~~ Oshkos~, WI 54903-1130
""""UN !HCWA!W Fax (920) 236-5084
Phone (920) 236-5046
Cumings Electric Inc
920-722-0769
P .1
c!
V
ELECTRICAL PERMIT APPLICATION
All inform~tion after bold categories ~ust be provided.
Incorn?leteapplica~ions will no= be ?rocessed.
DATE 02/12/07
JOB ADDRESS 3151 ELKRIOGE DR.
OWNER MIDWEST GENERAL CONTRACTORS
JOB NO. 2058
'CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE F~!ILY[]
COMMERC IAL[]
SERVICE: NEW D CHANGE D
DUPLEX[] MULTI-FAMILY~ RENTALD
INDUSTRIALD
TEMPORARY ~ NOT APPLICABLE [J
TYPE:
OVERHEAD D
UNDERGROUND D
NOT APPLICABLE D
NUMBER OF FIXTURES
SWITCHES
RECEPTACLES
CIRCUITS
AMPS 100
VOLTS 120/240
PHASE 1
CHECK ALL APPLICABLE
~ANGE [] WATER HEATER [J GARBAGE DISPOSAL []
DRYER 0
AIC [J
DISHWASHER [] FAN OR BLOWER [] FURNACE []
ELECTRIC SIGN 0 MOTORS D GAS PUMPS 0
OTHER
DESCRIPTION OF ALL WORK BEING DONE TEMPORARY SERVICE
VALUE (Inc~uding ~abor and all materials inc~uding light fixtures) $100.00
PERMIT FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
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.
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Check: rwre if you w'ant LiJls processed t.i-Jrouqh your account [gJ
t:OO-0750-25~5-00000