HomeMy WebLinkAbout2010-Electric CITY OF OSHKOSH No 143251
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 375 377 WESTBROOK DR Owner GARRY H DECKER Create Date 09/14/2010
Contractor CUMINGS ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp • N/A Type ❑ Overhead 0 Underground
Volts 120/240 Circuits 7 Luminaires 15
Amps 100 Switches 10 Receptacles 20
Appliances
Use /Nature of Duplex/ 377/ Basement remodel* to include bedroom, full bathroom and a rec. room. * *debit acct
Work
•
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: ai4"La- Date 09/22/2010
❑ Permit Voided Parcel Id # 1616580000
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) 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.
.p 22 2010 7:21RM CUMINGSELECTRIC 920 -722 -0769 p.l
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
F ahkoar.. 0 236 - 5 0 1130
Fax (920) 236 -
Phone (920) 236 -5045
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 091 2/1
JOB ADDRESS 377 Westbrook
JOB N0. 5970
OWNER Decker. Gary
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY❑ DUPLEX® MULTI- FAMILYQ RENTAL❑
COMMERCIAL❑ INDUSTRIAL❑
SERVICE: NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE
TYPE: OVERHEAD ❑ UNDERGROUND
❑ NOT APPLICABLE 2
NUMBER OF FIXTURES 15 SWITCHES 1Q RECEPTACLES 20 CrRcu:TS 7
AMPS 100 VOLTS 240/120 PEASE 1
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER
DISHWASHER ❑ F A ❑
N OR BLOWER ❑ FURNACE Q A/C ❑
ELECTRIC SIGN ❑ MOTORS E] GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE EAkMattEgnait,
VALUE (Including labor and all materials including light fixtures
PERMIT FEE:
g g $1,500.00
MASTER ELECTRICIAN IC D J EN EL
Submit payment with application. Failure to pay within 30 Gays will result in
fees being doubled or $100,00 nlus the normal permit fee, which ever is greater,
OR
Ch00 - 0750 - 2515 - 000CC eck here if cm want this rocessed throu h our account El
#1
Received Time Sep. 22. 2010 7:20AM No. 2917