HomeMy WebLinkAbout0123680-Electric (temp service)
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OSHKOSH
ON THE WATER
Job Address 3200 WHITE TAIL LN
CITY OF OSHKOSH
No
123680
ELECTRIC PERMIT - APPLICATION AND-RECORD
Owner
MIDWEST GENERAL CONTRACTORS
Create Date 03/02/2007
Contractor
CUMINGS ELECTRIC INC
Category 630 - Residential-New Multi-Family Servio Plan
Service
b New
120/240
o Change . Temp
o N/A
Type 0 Ovemead
o Underground
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
o
Appliances
Use/Nature of rremporary service. "DEBIT ACCT".
Work
$100.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Fees: Valuation
Issued By:
~
Date 03/05/2007
D Permit Voided I
Parcel Id #
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 (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified othelWise, 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.
Mar 02 07 12:56p
Cumings Electric Inc
920-722-0769
p.2
~
OJHKOJH
ul\, Ihe ..........Il;:N
D~vision of Inspection Services
215 Churc~ Avenue
?O. 30x 1130
Oshkosh, WI 54903-1130
Fay. :92:') 236-508~
Phone (9201 236-3~46
ELECTRICAL PERMIT APPLICATION
All information after bold cctegories must be provided.
Incomplete cpplications will not be processed.
DATE 03/02107
JOB ADDRESS 3200 White Tail Dr
JOB NO. 2096
OWNER Midwest General Contractors
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FN1ILY[]
COMMERCIAL[]
SERVICE: NEW [] CHANGE []
DUPLEX[] MULTI-FAMILY~ RENTAL[]
INDUSTRIAL[]
TEMPORARY ~ NOT APPLICABLE [J
TYPE:
OV"ERHEAD []
UNDERGROUND D
NOT APPLICA3LE []
NUMBER OF FIXTURES
SWITCHES
RECEPTACLES
CIRCUITS
AMPS 100
VOLTS 120/240
PHASE 1
CHECK ALL APPLICABLE
DISHWASHER [] FAN OR BLOWER [] FURNACS []
DRYER 0
AIC D
RANGE 0 WATER HEATER 0 GARBAGE DISPOSAL 0
ELECTRIC SIGN 0 MOTORS 0 G~Z\S PUMPS 0
OTHER
DESCRIPTION OF ALL WORK BEING DONE Temporarv Service
VALUE (Including labor and all materials including light fixtures) $100.00
PERMIT FEE:
MASTER ELECTRICIAN RICHARD J WENZEL.
Submit payment with. application. Failure to pay within 30 days will resu~t in
fees being doubled or $100.00 plus the normal permit fee, which ever is greater.
OR
Check here if you '-"an t this processed throuqh your account ~
#100-0750-2515-00000
Electric Permit Work Card
Job Address 3200 WHITE TAIL LN Permit Number 123680 Create Date 31212007
Owner MIDWEST GENERAL CONTRACTORS Contractor CUMINGS ELECTRIC INC
Service b New 0 Change. Temp 0 N/A I Type 0 Overhead 0 Underground . N/A
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles 0
~:~~U~ [MeS;~"ti'.N~ Mu~F'm"y SeNI~ Tem_~ ~M~ ..OEB~ Accr.
Value
$100.00
Inspections:
Date 03/21/2007 Type Temporary Inspector Kevin Benner
EQUEST LINE 1 READY FOR A TEMPORARY SERVICE INSPECTION
Faxed to WPS 3/12107
, approved
03/20/200710:16AM
>,.'.,
DatelTime requested: 03/20/2007 10:16 AM
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'Requested by: 'CUMINGS ELECTRIC INC - Jan
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
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