HomeMy WebLinkAbout0125319-Electric (underground)
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OSHKOSH
ON THE WATER
Job Address 1105 W LINWOOD AVE
CITY OF OSHKOSH
No
125319
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
WilLIAM J MEYER
Create Date 06/13/2007
Contractor
CUMINGS ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
p New
o Change 0 Temp
. N/A
Type 0 Overhead
. Underground
Volts
Circuits
luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR I UNDERGROUND SPLICE **debt acct
Work
Fees: Valuation $100.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 06/13/2007
o Permit Voided I
Parcelld # 1219300100
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 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.
~
CUMINGS ELECTRIC, INC.
920-722-0769 p.1
~
OJH<OJH
(H.J ,H~ v,'...l';;:~
Divis~or. of Inspec~ion Services
215 ~hurc2 AV€hUe
?O. Box :.:.30
Oshkosh, w: SQ9C3-113C
Fax :<;2:;: 236-5084
Phone :<;2:;: 236-3a46
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ELECTRICAL PERMIT APPLICATION
A~l ~nfcrmation after Dold categcries mus~ ~e ?rov~ded.
In~omplete a991icat~ons wi~l ~O~ De p~ocessed.
~
jIO.{ ItJ L, ~ WCOd.
JOB ADDRSSS 1ie6Lvnwood
."'/
DATE 06/13/07
JOB NO. 2392
OWNER READY BUILDERS
CCNTRACTOR CUMINGS ELECTRIC INC.
&zll;C'd
CHECK ALL APPLICABLE
USE CATEGORY:
SING=:':2: ?AIGLY[]
COr:-lBERCL~LD
DUPLEX[J BULTI-FAMILY[] RE~TALC=
INDUSTRIAL[]
SERVICE: NEW D CHANGE 0
TEMPORARY [] NOT APP~ICAB1E []
TYPE:
::NE RHEAD []
UNDERGROUND LZ1
NOT AP?LICABLE []
NUMBER OF FIXTURES
SIHTCHES
RECEPTACLES
CIRCUITS
AMPS
VOLTS -L
PHASE
CHECK ALL APPLICABLE
DISHWASH2R [] FAK OR ELOwE~ [] FURNACE []
DRYER D
J!../ -:: []
RANGE [] WATER HEATER D GAR3AGE DISPOSAL [J
ELECTRI C 31 GN D MOTORS [] GAS POJ:.:PS D
OTHER X
DESCRIPTION OF ALL WORK BEING DONE UNDERGROUND SPLICE
VALUE (Incluc.ing,..,labor and all mat.erials including li.ght fixtures) $100.00
PERMIT E'EE: 11" /'H-'
,; /,//
MASTER ELECTRICIAN RICHARD J WENZEL
Submit payme~t w~th afplication. failure to pay within 3C days will result in
fees being doubled or $108.00 plus the normal permit fee, which ever is grea1:.er.
OR
Check here ifYOil :ofant t1"Jis oro:::essed throuqh your aCCO,Wl: 0
t180-0750-2513-00000