HomeMy WebLinkAbout0126155-Electric
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OSHKOSH
ON THE WATER
Job Address 2810 MONTCLAIR PL
Contractor CUMINGS ELECTRIC INC
CITY OF OSHKOSH
No
126155
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner TIMOTHY G/AMY D LANGLlTZ Create Date 06/19/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 12 Luminaires 5
Switches 6 Receptacles 12
Service
b New
Volts
Amps
Appliances
Use/Nature of SFRI Garage and family room addition' to be constructed on the side of the house. Job #2623. "DEBIT ACCT".
Work
Fees: Valuation
$1,500.00
~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 08/08/2007
D Permit Voided I
Parcelld # 1331390000
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.
~
CUMINGS ELECTRIC, INC.
920-722-0769
p.1
~
OfHKOJH
0... 1 H.; ".II~lt~
Division of I~spec~ion Se~vices
215 Chu~c~ Aven~e
P.D. Box :130
OShkcs~, KI 54903-113C
Fal{ (92C) 236-5084
pi8ne 192C) 236-5046
ELECTRICAL PERMIT APPLICATION
All i~fcrmat~on af~er bcld ~ategoI~es must be provideci.
Incomple~e applica~ions will not be procEEsed.
CATE 08/07/07
JOB ADDF.ESS 2810 Montclair Place
JOB NO. 2623
OWNER ? Craiq Meetz-Heartland Homes
CONTRf'._CTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY:
SINGLE FA.[vlIL:"~
COMt".1ERCIAL[]
DUP:EX[] MOL~I-FAMILY[] RENTAL[J
IN:JUS'.::'R=ALD
SERVICE: NEVii' D 2HANGE D
T~MPORARY [] NOT APPLICAB~E ~
TYPE:
O\lERHEA:J D
UNDERGROU1D D
NOT APPLICABLE []
NUMBER OF FIXTURE3 ~ SWITCEES 2 R~CEPTACLES 12 CIRCUITS 12
AMPS
VOLTS L
PHASE
CHECK ALL APPLICABLE
RAN~E ~ ~ATER HEATER [] GARBAGE DISPOSAL []
DRY~R [Z]
DI3HWAS3ER [] ?AN OR BLOWER [J ?URNACE []
Ale 0
ELE:::;T:<.IC SIGN 0 HOTORS 0 GAS pcrv:PS 0
OTH~R
DESCRIPTION OF ALL WORK BEING DONE Additional WirinQ
VALUE (Including labor and all materials including light fixtures) $1500.00
PE:RMJ:T FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
S~bmit paynent with applicatio~. Failure to Fay ~~thin 30 days wi:l result in
fees being doubled or $lOC.OO plus the normal perm~~ fee, wiici ever ~s ~reater.
OR
CheCK here if you want this processed througl: your account !ZI
#100-0750-2515-COOOO
fu-!- '7 7
/~(,/50