HomeMy WebLinkAbout2008-Electric (service change)CITY OF OSHKOSH No 132170
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1250 WALNUT ST Owner MATTHEW M/ALICE M WESTPHAL Create Date 08/11/2008
Contractor COMINGS ELECTRIC INC Category 634 -Residential-Service Change Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead 0 Underground
Volts 120/240 Circuits 22 Luminaires
Amps 200 Switches Receptacles
Appliances
Use/Nature of
Work
Fees: Valuati~
Issued By:
Permit Voided ~ Parcel Id # 1204520000
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
Address PO BOX 749
Agent/Owner ,
NEENAH WI 54957 - 749 Telephone Number (920) 722-1240 _ _ __ _
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
D_~~isior_ ci Inspectior. 3=_r•.~ices
215 Ch~rcY: AvenLe
P.J. Box _13~
OsFkcsh, w= 5~9C3-113C
~~ ~~..wA 1 Eax 1°2C; 236-5084
Phone 1°20; 236-5095
ELECTRICAL PERMIT APPLICATION
A_i info`-nat_on after bold categories muses be eroy_ded.
ncomplete appl_catioas will no= b? processed.
~~TE 8/11108
JoB ADaR~ss 1250 Walnut St. ~ J~~B rao. 3847
OV~VER Matt Westphal
CO[~TRACTOR CUMINGS ELECTRIC 1NC.
CHECK ALL APPLICABLE
USE CATEGORY: SINSLE FAMIL`t^ DU?LEX~ ~IULT=-FAP4-?,Y^ R3NTAL^
CONLtiIERCIAL^ INDUSTRIAL^
SERVICE: NEF7 ^ CHAPdGE ® ~E`CPORARY ^ NOT APPLICABLE ^
TYPE: OVERHEAD ® UNCERGR_CUND ^ ~~OT APFLICALL3 ^
NUMBER OF r=K'IURES SLvIT~HES ~ RECEPTACLES CIRCUITS 22
AMPS 2-100 VOLTS 120/240 ! PHASE 1
CHECK ALL APPLICABLE
RANEE ^ WATER HE?~tER ^ ! GARBAGE DISF,'.SAL ^ CRYER ^
DISHNIASHER ^ FFS1 OF'. BLOWER ^ FURNACE ^ A; C ^
ELECTRIC SIGN ^ MCTGRS ^ ~ GAS PUMFS ^ OTHER
DESCRiPTiON OF ALL WORK BEING DONE Service Upgrade
VALUE (Including labor and all materials incllading light fixtures) x1$00.00
PERIFIT FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
5~sbmi= payment with application. Failure to pay within ?0 days w_11 result ir_
fees being doubled or $_00.00 plus tl-ie r_ormal permit fee, rlhich ever is greater.
OR
Chec.~ :ere if voL ~.~ant this processed cnrouvr, your acco~:rt
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