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o
OSHKOSH
ON THE WATER
Job Address 1357 WAUGOO AVE
CITY OF OSHKOSH
No
124876
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MRlMRS MICHAEL P DAEHN Create Date 05/18/2007
Contractor CUMINGS ELECTRIC INC
Category 612 - Residential-Single Family AdditionlR Plan
Service
(:) New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
3
Amps
Switches
3
Receptacles
3
Appliances
UselNature of SFR 1 WIRE THE GARAGE "debt acct
Work
Fe..' Val"atl~./
Issued By:
$350.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 05/18/2007
o Permit Voided I
Parcelld # 0205630000
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
I 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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ON II'n: 'NA1Er.1
Cumings Electric Inc
920-722-0769
p. 1
Division 0= Inspection Servlces
215 C~urch Avenue
P. O. Box 1130
Oshkos~, WI 54903-1130
::ax 1920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All infor~ation after bold categories must be provided.
Incomplete applications will not be processed.
DATE 05/18/07
JOB ADDRESS 1357 Wauqoo Ave.
OWNER Mike Daehn
JOB NO. 2301
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE F~lILY~
COl'1MERC IAL[]
SERVICE: NEW 0 CHANGE 0
DUPLExD MULTI-FAMILY[] RENTAL[]
INDUSTRIA!..[]
~EMPORARY 0 NOT APPLICABLE ~
TYPE:
OVERHEAD D
UNDERGROUND 0
NOT APPLICABLE D
NUMBER OF FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS 1
AMPS
VOLTS .L
PHASE
CHECK ALL APPLICABLE
RANGE [] WATER HEATER [] GARBAGE DISPOSAL []
DISHWASHER [] FAN OR BLOWER [] FURNACE []
DRYER 0
Ale []
ELECTRIC SIGN D MOTORS 0 GAS PUMPS 0
OTHER
DESCRIPTION OF ALL WORK BEING DONE Wire QaraQe
VALUE (InclUding labor and all mater~als ~ncluding light fixtures) s350.00
PERMIT FEE:
M~STER ELECTRICIAN RICHARD J WENZEL
SUbmit payment with application. Failure to pay within 30 days will resul-c. in
fees being doubled or SlOO.OO plus the normal permit fee, which ever is greater.
OR
Check here if you want this processed through your account [gJ
#iCO-0750-2515-00000