HomeMy WebLinkAbout0125744-Electric
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OSHKOSH
ON THE WATER
Job Address 421 W 10TH AVE
CITY OF OSHKOSH
No
125744
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
o New
o Change 0 Temp
Owner DONALD H BERNDT Create Date 07/12/2007
Category 612 - Residential-Single Family AdditionlR Plan
. NIA Type o Overhead o Underground
Circuits Luminaires 3
Switches 2 Receptacles 3
Contractor CUMINGS ELECTRIC INC
Volts
Amps
Appliances
Use/Nature of SFR 1 wire new garage. --DEBIT ACCr-.
Work
Issued By:
$350.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Fees: Valuation
Date 07/12/2007
o Permit Voided I
Parcel Id # 0906390000
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 (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.
920-722-0769
p.1
Division of In5pect~on Se~vices
215 Church Aven~e
?O. Sox :13::1
Cs~kosh, WI ~49~3-1:3G
fax (920) 236-5084
Phcne :92J; 236-5045
ELECTRICAL PERMIT APPLICATION
All infor~a~ion af~er bcld citeqaries m~st be provided.
I~co~p~ete applica~ions ~il: not be processed.
J03 ADDRESS 421 W. 10th S1.
DATE 07/11/07
J03 NO. 2498
GTt-J:.\iER Don Berndt
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY~
SINGLE r'N(IL::!Zl
COXMERC:ALD
DUP~EX[] MUL~I-FAMILY[] RENTAL[]
INDOS':'RIAL[]
SERVICE: NEW 0 CHANGE D
TEMPO~~R:: [] NOT APPLICABLE ~
TYPE:
OVERHEAD 0
UNDEEGROUND 0
NO~ APPLICABLE []
NUMBER OF ?IXTURES ~ SWITCHES 2 RECE?TACLES ~ C:RCOI:S 1
AMPS
VOLTS
I
PHASE
CHECK ALL APPLICABLE
RANGE ~ WATER HSATER [] GARBAGE DISPOSAL []
DISEWASHER D FA~ O~ BLOWER [] FJ~NACE []
DRYER D
Ale []
ELECTRIC SIGN 0 MOTORS 0 GAS PUt-1PS D
OTHER
DESCRIPTION OF ALL WORK BEING DONE new qaraqe
VALUE (Including labor and all materials includ~ng light fixtures) $350.00
I?ERMIT FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
Submi~ pcywent with application. Failure to pay w~thin 30 days w~ll result in
fe~s being doubled o~ $100.00 plus the normal permit fee, which ever is ~reate~.
OR
I)~~
'd-0
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Check heore if "ou ".ant: this precessed t;hro<.1crh 'OU'::'- oc.:;coun':; [gJ
#lOQ-075J-2515-JOG00