HomeMy WebLinkAbout0124892-Electric (service change)
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OSHKOSH
ON THE WATER
Job Address 1524 FOX ST
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
124892
Qwner
ORVILLE C/ALlCE E BAIER LIFE ESTATE Create Date OS/21/2007
COl'ltractor
CUMINGS ELECTRIC INC
P New . Change 0 Temp
120/240
qategory 634 - Residential-Service Change
Circuits
Type . Overhead
22
Plan
o Underground
Sen,ice
o N/A
Volts
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of ~FR / Service change. **DEBIT ACCT**.
Worl{
Fees: Valuation
$1,000.00
()./YYl /0
Plan Approval
$0.00
Permit Fee Paid
$60.00
Issued By:
Date OS/21/2007
o Permit Voided I
Parcelld # 1601010000
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
NEENAIi
WI 54957 - 749
Telephone Number 920-231-5946
To !.chedule 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 otherwise, we will assume th~ 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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21 07 10:30a
Cumings Electric Inc
920-722-0769
p. 1
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ON r!-!e \'.'A1E~
Division of :nspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fc.x (920) 236-5084
~hone (920) 236-5046
.ELECTRICA~ PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not De processed.
DATE OS/21107
JOB ADDRESS 1524 Fox St.
JOB NO. 2284
OWNER Alice Baier
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
TYPE: OVERHEAD Ig] UNDERGROUND 0
NUMBER OF FIXTURES SWITCHES
AMPS 100 VOLTS 120/2~0
CHECK ALL APPLICABLE
DUPLEX[] MULTI-FAMILyD RENTP.LD
INDUSTRIAL[]
TEMPORARY [] NOT APPLICABLE []
NOT APPLICABLE []
USE CATEGORY: SINGLE FAMILYlZJ
COMMERCIAL[]
SERVICE: NE'iv 0 CHANGE ~
RECEPTACLES
CIRCUITS 22
PHASE 1
RANGE 0 WATER HEATER 0 GARBAGE DISPOSAL []
DISHWASHER 0 FAN OR BLOWER [] FURNACE []
DRYER 0
AIC D
ELECTRIC SIGN 0 MO'l'ORS [] GAS PUMPS 0
OTHER
DESCRIPTION OF ALL WORK BEING DONfl Service Change
VALUE (Including labor and a~l mate~ia~s inc~uding light fixtures) $1,000.00
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.
OR
Check here if you want this processed throuqh your account ~
~100-0750-2515-00000
~~y
\ d-~
Electric Permit Work Card
Permit Number 124892
Create Date 5/21/2007
Job Address 1524 FOX ST
Owner ORVILLE C/ALlCE E BAIER LIFE ESTATE
Service '0 New . Change 0 Temp 0 N/A
Volts 120/240 Circuits 22
Contractor CUMINGS ELECTRIC INC
I Type . Overhead 0 Underground 0 N/A
Luminaires
Value
$1,000.00
Amps
Use/Nature
()fWork
100 switches Receptacles
r - Roslden'a!-Se"'''' Chaoge SFR I Se"'''' "'ange.
**DEBIT ACCT**.
Inspections:
Date OS/29/2007
[' ,eady
DatelTime requested: OS/29/2007 08:55 AM
Type Service
Inspector Kevin Benner
not approved
Notice Type:
Ready DatelTime: 05/29/200712:00 PM
Access:
Requested by: CUMINGS ELECTRIC INC Phone Number: 420-9071 Scott
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
--- - - - ---- - - -- ----- ---- -- ----- -- - ---- - - - ---- -- - - ---- - - - ---- - - - ----- ---- - - --- - - - ---------- - ------ ----
Date OS/29/2007 Type Re Service Inspector Kevin Benner approved
~ield Request
rigned wo<'",a,d left with the Uneman on ,lte, Foxed to WPS 5I3OfI
DatelTime requested: OS/29/2007 12:20 PM
Access:
Notice Type:
Ready DatelTime: OS/29/2007 01 :30 PM
Phone Number: 420-9071
- - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
Requested by: CUMINGS ELECTRIC INC Scott N.
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid