HomeMy WebLinkAbout0144850-Electric I CITY OF OSHKOSH No 144850
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 711 WISCONSIN ST Owner IVAN A WERNER Create Date 02/09/2011
Contractor CUMINGS ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan
Service Q New Q Change 0 Temp • N/A Type 0 Overhead Q Underground
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR / Interior remodel. **debit acct
Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 02/09/2011
❑ Permit Voided Parcel Id # 0500540000
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.
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Division of Inspection Services
215 Church Avenue
F.O. Box 1130
EZEWE Oshkosh, +�I 53 301130
Fex (920) 236 -5084
phone (923) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not he processed.
DATE 02/09/11
JOB ADDRESS 711 Wisconsin Street JOB NO. 6348
OWNER Del Tritt
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY® DUPLEX- MULTI- FAMILY❑ RENTAL❑
COMMERCIAL❑ INDUSTRIAL❑
•
SERVICE: NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE g
TYPE: OVERHEAD ❑ UNDERGROUND ❑ NOT APPLICABLE
NUMBER OF FIXTURES ? SWITCHES ? RECEPTACLES 7 CIRCUITS ? '
AMPS _ VOLT'S L PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER ❑
DISHWASHER ❑ FAN OR BLOWER ❑ FURNACE ❑ A/C ❑
ELECTRIC SIGN ❑ MOTORS ❑ GAS PUMPS Q OTHER
DESCRIPTION OF ALL WORK BEING DONE Remodel
VALUE (Including labor and all materials including light fixtures) $1,500.00
PERMIT FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is greater,
OR
Check here If you want this processed through your account ER
4 100- 0750 -2515 -00000
Received Time Feb. 9. 2011 7:43AM No. 4625