HomeMy WebLinkAbout0127904-Electric
o
OSHKOSH
ON THE WATER
Job Address 3895 SHOREBIRD CT
CITY OF OSHKOSH
No
127904
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MICHAEL L/JOAN A WOLDT
Create Date 11/09/2007
Contractor
CUMINGS ELECTRIC INC
Service
p New
o Change
o Temp
Category ~12 - R~sidentia~?ingle Family Addition/R
. N/A Type 0 Overhead
Plan
~~~I!.~e!_g!ound ___I
Volts
Circuits
2
10
Luminaires
18
Amps
Switches
Receptacles 20
Appliances
----- j
Use/Nature of !SFR/ Remodeling the ba-sement to create a famITy room, excersize room, hallWay-and bathroom.
Work j
..--------------------,..__.,_1
Fees: Valuation
$2,000.00
~
Plan Approval
$0.00
-~-----~
Permit Fee Paid
__ $77.00
Issued By:
Date 11/20/2007
D Permit Voided 1
Parcelld # 1281340000
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
~
OIHKCifH
G~. I 'I~ '.YA:~I\
D~vision of lr-~?e~tion Services
2:"5 C:,u:::;::h lwer.'.le
?C. Box 1130
Oshkosh, ~r 54S03-~13J
Fax (:92:J) 236-5;)34
PhonE (92J) 23€-~046
ELECTRICAL PERMIT APPLICATION
All ir.fornatic~ ~fter bold cate;ories ~ust ce ?rov~ded.
Ir.comp~ete ~p~licatio~3 will no~ be ~rocessed.
DATE 11/20107
JOB ADDRESS 3895 Shorebird Crt
J03 ~o. 2976
CWNER Michael Davis Construction
CC::-JTRACTOR CUMINGS ELECTRIC lNC.
CHECK ALL APPLICABLE
USE CATEGORY:
SIK3LE FAM:LY!Sl
:Ot''1r-jERCIALD
DUPLEX[J MULTI-FAY-ILY[] RENTAL[]
rrWOSTRI.i;LD
SERVICE: NEW D CHF-..NGC": 0
T~MPORARY [J NOT APPLI2ABLE ~
TYPE:
OVERHEAJ 0
UNDERGROUND 0
NOT APPLICABLE [J
NUMBER OF FIXTURES ~ SWITCHES 1Q R2CE?TACLES 20 CIRCUITS 2
AMPS
VOLTS
I
PHASE
CHECK ALL APPLICABLE
R~~~GE c= WATE~ HEATER [J GARBAGE DrSPOSA~ [J
DRYEF D
DISHWASEER c= =AN OR BLOW~R ~ FURNACE []
Ale 0
E:'SCTRIC SIGN 0 [-.jQTORS 0 GAS PUMPS D
OTHER
DESCRIPTION OF ALL WORK BEING DONE Addition
~LUE (Inc2uding labor and a~l materia1s including light fixtures) $2000.00
PERMIT FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
Subm~t payment with apflication. Failure to pay within 30 day~ will result in
fees Dei~g cGJbled or SlOO.O~ plus the normal permit fee, wtict ever ~s g~e2ter.
OR
'::heck here i1' YOU WCi_'1t this orOC9ssea. throuq.h VOl:r account I:g]
#188-8750-25l5-JJOOO