HomeMy WebLinkAbout0143498-Electric CD CITY OF OSHKOSH No 143498
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2405 LAKESIDE CT Owner AMIR/CONNIE V ROSENBAUM Create Date 09/22/2010
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 Circuits 3 Luminaires 6
Amps Switches 6 Receptacles 10
Appliances
Use /Nature of SFR/ Basement Remodel *Remodeling the basement to include a bedroom, family room and bathroom. * *debit acct
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: 1,,s.„/ Date 10/07/2010
❑ Permit Voided Parcel Id # 0614401700
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.
.t 06 2010 2:02PM CUMINGSELECTRIC 920 - 722 -0769 p.1
al Fa
ES
Division of inspection Services
215 Church Avenue
P.O. Pox 1130
a: xkos(920) 236- 5094
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 10/06/10
JOB ADDRESS 2405 Lakeside Court JOB No. 6022
OWNER Tempo Homes
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY® DUPLEX MULTI- FAMILY[] RENTAL
COMMERCIAL❑ INDUSTRIAL❑
SERVICE: NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE
TYPE: OVERHEAD ❑ UNDERGROUND 0 NOT APPLICABLE
NUMBER or FIXTURES 6 SWITCHES 6 RECEPTACLES 10 CIRCUITS 3
AMPS VOLTS 1 PHASE
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER U
DISHWASHER ❑ FAN OR BLOWER 0 FURNACE p A/C ❑
ELECTRIC SIGN 0 MOTORS ❑ GAS PUMPS El OTHER
DESCRIPTION OF ALL WORK BEING DONE Remodel
VALUE (Including labor and all materials including light fixturoa) $1000.0Q
DEALT 8em :
MASTER ELECTRICIAN RICHARD J WENZEL
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or S100.00 plus the normal permit fee, which ever is greater.
OR
Check here if you want this processed through your account ED
#100 -0750- 2515 -00000
Received Time Oct. 6. 2010 2:02PM No. 3144