HomeMy WebLinkAbout0127103-Electric (garage)
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OSHKOSH
ON THE WATER
Job Address 341 W 1 OTH AVE
CITY OF OSHKOSH
No
127103
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CHALERN THAO
Create Date 10/04/2007
Service
CUMINGS ELECTRIC INC Category
b New 0 _Cha~~___Q!~~~__.__N!~____J
Circuits
612 -l3esi.dential-Single Fa,,!!!!>, AdclitionIB
Type O_Qy~~h~Cl.~____
Plan
Contractor
. _O_l,In~eLg!Cl.u,!_cl_ ______ _ ._
Volts
Luminaires
Amps
Switches 2
Receptacles
2
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-- --- _~_n_~.___.._"'_'__ ----. .-..-- . --"1
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Appliances
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Use/Nature of iSFR / WIRE NEW GARAGE (CEI JOB #2800) **debt acct
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Fees: Valuation $350.00
Issued By: ~ S-
Plan Approval $0.00
Permit Fee Paid ~..J?5.QQ
Date 10/04/2007
D~~rl)1i~y?id~<:lJ
Parcel Id # 0903460000
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
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OfHKO/H
~......IJ-:.";WP..I"J:
Givisio~ ~f I~spection Services
215 Church AvenUE
P.C. Box 1'-30
CShkosh, ~I 5Q903-:130
Fax (920) 236-~0=4
F~one (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All ~nformat~or; afte~ bold categc~ies mus~ ce 9rOv~deG.
Incom~lete appl~catio~s will no~ be processec.
DA T E 10/03/07
';OB NO. 2800
JOB ADDRESS 341 10th St.
OIAiNER Chalern Thao
CONTRP.CTCR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY:
SI)JGLE FA~HLy[g]
COJ:.:I'ERCIALD
DUPLEX[] MULTI-FAMILY[] RENTAL[:
INDUSTRIALL
SERVICE: KErN D CHANGE [] TEHPORARY [] NOT ~.PPLICABLE IZJ
TYPE: OVERHEAD [] UNDERGEOUND ::J NOT APP:!:...ICABLE D
NUMBER OF FIXTURES 1 SWITCHES 2 RECEPTACLES ~ CIRCUITS 1
AMPS 0
/
PHASE
VOLTS
CHECK ALL APPLICABLE
RANGE D ~ATER HEATE~ D GARBAGE DISPOSAL D
DRY3R D
DISHWASH~R [] FAN OR BLOwER [J FURNACE D
AIC D
ELECTRIC SIGN D ~10TOR.s D GAS PUEPS [J
OTHER
DESCRIPTION OF ALL WORK EEING DONE Wire new Qaraqe
VALUE (Including labor and all ffiaterials including light fixtures) $350.00
PERMI'!: FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
Sub~it payment with appl~=ation. Failure to pay within 30 days will result in
=ees being ~oubled or $100.00 plus the normal permi~ fee, which ever is greater.
OR
Check here if yc~ want t~is precessed through vcur account ~
tlCC-0750-2515-DOOOJ