HomeMy WebLinkAbout0128000-Electric (service change)
G
OSHKOSH
ON THE WATER
Job Address 134 W 17TH AVE
CITY OF OSHKOSH
No
128000
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DAVID A HOGUE
Create Date 11/30/2007
Contractor
CUMINGS ELECTRIC INC
Category ~!:-_Re~!defl.!l~~Service ~~hang~____
Plan
Service
b New . Change 0 Temp
120/240
ON/A 1
~..__._____J
Type ~~~.ead ____Q_~fl.sLe!.9!~~J:lL___~~ .J
Volts
Circuits
22 Luminaires
Amps
200
Switches
Receptacles
Appliances
Use/Nature of IIYuplex (both units) / SerVice change.
Work I
I
I
**DEBIT ACCT**.
.----...-,
i
L
Fees: Valuation ______gggQ.()Q
Issued By: (}L?7t4
Plan Approval
$0.00
Permit Fee Paid____~ELQQ
Date 11/30/2007
O_.!:~mit V_oid~
Parcelld # 0305580000
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
~
OfHKOJD
0....: "H:,Wr.if::t./
Divis~o~ of Ir.s?e~~io~ Services
2:5 Chu~ch Av€~Ue
P.O. Bay. 1:30
Oshkosh, ~: 54903-1130
?ax (nc: 236-5084
Phor:e i ~20! 236-5::';6
ELECTRICAL PERMIT APPLICATION
All i~formatior. ~fter bold categories ~Jst be provided.
IncoTplete a?pl~cations wlll not be processed.
DATE 11/30107
JOB ADDB.ESS 134 A & B 17'h Ave.
JOB NO. 3009
OWNER David Hoque
CON':EACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SIN~LE FAMILY[]
COMMERCIAI..C
SERVICE: NE'i"'J D CHANGE r8:l
DU?LEX~ MULT:-FAM:LY[] ~E~TAL[]
INDUSTRIl:'~LD
TEMPORP.RY [] ~0T APPLICABLE []
TYPE:
QVEREEAD ~
V'NDERGROOND 0
NOT APPLICABLE []
NUMBER OF FIXTURES
S',,] I TCHE S
RECEPTACLES
C:RCUITS 22
AMPS 2-100
VOLTS 120/240
PHASE 1
CBECK ALL APPLICABLE
F.ANGE [] vJArER HEI'.TER [] GARBAGE DISPOSAL 0
CRYE::<. 0
DISEwASHER [] FAN OR BLOWER [] ~UR~AC3 []
AiC []
ELECT::UC SIGN [] [\lOTORS 0 GAS ?ur:'lPS []
O?HER
DESCRIPTION OF ALL WORK BEING DONE Service UpQrade
VALUE (Including labor and all materials inc~udi~g light fixtures) $2000.00
PERMIT FElE:
MASTER ELECTRICIAN RICHARD J WENZEL
S~brrit payment ~itn appl~~atior-. Failure to pay within 30 days wi~l ~esul~ in
fees oeir-g c8~bled or Sl00.00 plus tbe normal permit fee, w~ich ever is ~~eater.
OR
Che~k here .if yell wan t r:his processe~. thrcucrh VOur acccun t ~
#10J-C750-2515-COOOC