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OSHKOSH
ON THE WATE~O t 5'
Job Address ~OSEVELT AVE
CITY OF OSHKOSH
No
124233
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04/16/2 . Df~~
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DEL TRITT CONSTRUCTION LLC
Create Date
Contractor
CUMINGS ELECTRIC INC
Category 611 - Residential-New Single Family Wirin Plan
Service
. New
120/240
Circuits
Type 0 Overhead
22
. Underground
o Change 0 Temp
ON/A
Volts
Luminaires
25
Amps
200
Switches
30
Receptacles
45
Appliances Range, garbage disposal, dishwasher, fan, dryer, furnace, AlC.
Use/Nature of NSFRI New single family 1 story, 2 car attached garage, 10'x10' patio and 20' wide concrete driveway. **DEBIT ACCT**.
Work
Fees: Valuation
$5,000.00
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Plan Approval
$0.00
Permit Fee Paid
$128.00
Issued By:
Date 04/16/2007
o Permit Voided i
Parcelld # 1212850000
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.
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Cumings Electric Inc
820-722-0768
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ON lllr.wAI:=.I:
Divis~on 0= Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, w: S~903-1130
Fay. (920) 236-5084
?tJone (920) 236-50413
ELECTRICAL PERMIT APPLICATION
All .information after bold categories must be provided.
Incomplete applications will not be processed.
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JOB ADDRESS 2015 Roosevelt
OWNER DEL TRITT
CONTRACTOR CUMINGS ELECTRiC INC.
DATE 04/16/07
JOB NO. 2202
AMPS 200
VOLTS 120/240
PHASE 1
CHECK ALL APPLICABLE
RANGE ~ WATER HEATER [] GARBAGE DISPOSAL ~
DISHWASHER lZJ FAN OR BLOWER ~ FURNACE ~
DRYER [3J
AlC 0
ELECTRIC SIGN [] MOTORS [] GAS PUMPS [J
OTHER
DESCRIPTION OF ALL WORK BEING DONE NEW HOUSE
VALUE (Including labor and all materials including light fixtures) $5000.00
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 eve~ is grea~er.
OR
Check l1ere if 'au w3Dt this orocessed throu hour aCCouDt [8J
#lOO-0750-25~5-00000
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