HomeMy WebLinkAbout0126894-Electric (service change)
o
OSHKOSH
ON THE WATER
Job Address 1213 VAN BUREN AVE
CITY OF OSHKOSH
No
126894
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KELLY J/ELlZABETH L BURNETT
Create Date 09/20/2007
Volts
Circuits
Type . Overhead
22
Plan
o Underground
Contractor
CUMINGS ELECTRIC INC
Category 634 - Residential-Service Change
Service
10 New
120/240
100
Luminaires
. Change 0 Temp
o NIA
Amps
Switches
Receptacles
Appliances
UselNature of SFR (RENTAL) 1 WIRE SERVICE CHANGE **debt acct
Work
$53.00
Fees: Valuation $850.00
Issued By: (Jyyl S-
Plan Approval
$0.00
Permit Fee Paid
Date 09/20/2007
o Permit Voided I
Parcelld # 1601720000
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
~
OJ1-KOJH
Qr."j II'I-W.,",'I::'"
D~vision c: I~spe~tion Services
215 C~urch Ave~~e
P.o. 80:<: 1130
Ostkosh, ~I 549J3-1130
Fax. 1:92C) 236-508~
Pr.onei92Cl 236-504E
ELECTRICAL PERMIT APPLICATION
lHl .:.nformation after bold categc:::-ies mus:: ce :s:;rov.:...deci.
Inco~Flete 2ppl.:...catio~s will not be processeci.
JOB ADDRES S 1213 Van Buren St.
DA TE 09/20/07
JOB NO. 2762
OY'tN3R Kelly Burnett
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY:
SINGLE Fk'1IL:-[gJ
COMMERCLl\L[J
DUP~EX[] MOLII-FA~IL:-[] REN~AL[J
INDUSTRIALD
SERVICE: NE:1j] 0 CHANGE rg
TEMPORARY D NOT A?PLICA3LE [J
TYPE:
OVERHEAD L8l
:JNDERGROUND D
N~T APPLICABLE D
NUMBER OF F:XTURES
SWITCEES
RECEPTACLES
CIECUIl'S 22
.AM:PS 100
VOLTS 120/240
PHASE 1
CHECK ALL APPLICABLE
RANGE [] WATER HEATER [] GARBAGE DISPOSA~ []
DISHWASHER [] fAN OR ELOWER [] FURNACE [J
DHYER []
A/C [J
E~ECTRIC SIGN [] MO~ORS [] GAS PUMPS []
O:EER
DESCRIPTION OF ALL WORK BEING DONE Service Chanoe
VALUE (Including labor and all materials including light fixtures) $850.00
PERMIT FEE;
MASTER ELECTRICIAN RICHARD J WENZEL
Sub~it pay~eJt w~th aFPlicatioTI. Failure to pay within 30 days will result in
fees being doubled or $100.0~ plus the normal permit fee, which ever is greater.
OR
Check here if you want chis precessed throuqh your account ~
4100-0750-2515-000CO