HomeMy WebLinkAbout0146772-Electric (city rehab) e l) CITY OF OSHKOSH No 146772
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1306 LAMAR AVE Owner PATRICK/SHERYL L FAUL Create Date 07/05/2011
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 / City rehab / Change outside service and porch receptacle. '"'debit acct
Work
Fees: Valuation $700.00 Plan Approval $0.00 Permit Fee Paid $39.00
Issued By: (a , /// Date 07/12/2011
❑ Permit Voided Parcel Id # 1202230000
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.
1 12 2011 6144AM Cumings 920 -722 -0769 p.1
0 DiviCiun of Inpection Services
215 Church Avenue
P.O. Box 1130
Fax (920 236 -
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 07/12/11
JOB ADDRESS 1306 Lamar Avenue JOB NO. 6784
OWNER Pat Faul
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 ri
NUMBER OF FIXTJRES SWITCHES RECEPTACLES 1 CIRCUITS
.ArdPS 100 VOLTS 240/120 PEASE 1
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER 0
DISHWASHER ❑ FAN OR BLOWER ❑ FURNACE ❑ A/C ❑
ELECTRIC SIGN ❑ MOTORS ❑ GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE Change Outside Service & Porch Receptacle
VALUE (Including labor and all materials including light fixtures) $700,00
PERI=PZ:
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
#100- 0750 - 2515 -00000
Received Time Jul. 12. 2011 7:36AM No. 6309