HomeMy WebLinkAbout0132179-Electric (service change)CITY OF OSHKOSH No 132179
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1418 HAZEL ST Owner LYNN F SOHM Create Date 08/11/2008
Contractor COMINGS ELECTRIC INC Category 634 -Residential-Service Change Plan
Service New ~ Change 0 Temp ~ N/A Type ~ Overhead ~ Underground
Volts 120 / 240 Circuits 22 Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of
Work
Fees: Valuation $1,000.00 Plan Approval ' $0.00 Permit Fee Paid '~ $60.00
Issued By: ~~ .
Date 08/11/2008
Permit Voided ~ Parcel Id # 1513900000
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
AgenUOwner
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
Dicisicn cf Iaspecc_on Ser:•ic°_s
c.5 C}';~rch Av~nne
P. ~. Eon: "130
~~V Oshkcst, ~I 54903-113C
`-III _3;; (920) 23h-5G64
U'~ 4'k NIn~fN
Phone (°.20) 236-5045
ELECTRICAL PERMIT APPLICATION
Al- in:o_ma~ion after bold categories _nust be ~vo:~ided.
InccT.plete app-_cations vai.1= not be ~°ocessFd.
CAT E 08/ 11 /08
JoB AD,RESS 1418 Hazel St. JoB No. 3872
OWNER Lynn Sohrn
CONTP.ACTOR CUMINGS ELECTRIC INC.
CHECA ALL APPLICABLE
USE CATEGORY: SINGLE FAT~IILY® 1?JPLEX^ MULTI-FAT~]ILY^ REVTAL^
CONIMERCIAL^ INDUSTRIaI,^
SERVICE: NEw ^ C~P]GE ® TENIPORAR`l ^ NOI' APPLICABLE ^
TYPE : ~.;VERFEAD ® UtdDERGROGND ^ NOT APPLICABLE ^
N[JI~ER OF FIXTURES Sk'=TCHES RECEPTACLES CIRCUITS 22
AMPS 100 VOLTS 120/240 PHASE 1
CHECK ALL APPLICABLE
RANGE ^ `rdATER HEATER ^ GARBAGE DISPOSAL ^ DRYER ^
CISHWASHER ^ FAN OR BLOkER ^ FURNACE ® F,%C ^
ELECTRIC SIGN ^ tQOTOP.S ^ ', GAS PUMFS ^ OTHER
DESCRIPTION OF ALL AORI{ BEING DONE SeIVICe Upgrade
VALIIE (Including labor and all materials including light fixtures) $1,000.00
PEI2LIIT FEE:
MASTER ELECTRICLA23 RICHARD J WENZEL
Submit pav_nent with applicat_on. Failure to pay u:ithin 30 days will result in
fees being doubled or $1G0.00 p1LS the normal permit fee, wh_ch ever is greater.
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~1UD-0?`;•G-2515-~~0000