HomeMy WebLinkAbout0145989-Electric (service change) / CITY OF OSHKOSH No 145989
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1640 SPRUCE ST Owner RICHARD L GABERT Create Date 05/20/2011
Contractor CUMINGS ELECTRIC INC Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR / Service change. **debit acct
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: 1 Date 05/20/2011
❑ Permit Voided I Parcel Id # 1206510000
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
8,0. Box 1130
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Fax c 1920) 236 -5084
phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION .
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 05/20/11
JOB ADDRESS 1640 Spruce JOB NO. 6607
OWNER Gabert & Rusch Properties
CONTRACTOR COMINGS gLECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY® DUPLEX❑ MULTIFAMILY❑ RENTAL
COMMERCIAL ❑ INDUSTRIAL❑
SERVICE NEW ❑ CHANGE El TEMPORARY ❑ NOT APPLICABLE ❑
TYPE: OVERHEAD Z UNDERGROUND ❑ NOT APPLICABLE ❑
NUMBER OF FIXTURES _ SWIT.CHES _ RECEPTACLES _ CIRCUITS
AMPS 100 VOLTS 120/240 PHASE 1
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER ❑
DISHWASHER ❑ FAN OR BLOWER ❑ FURNACE ❑ A/C ❑
ELECTRIC SIGN ❑ MOTORS ❑ GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE SANICe 9hanae
VALVE (Including labor and all materials including light fixtures) $1200,00
Dina FST:
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
#100 -0750- 2515 -00000
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