HomeMy WebLinkAbout0151543-Electric CITY OF OSHKOSH No 151543
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2009 NEBRASKA ST Owner ROGER D/KIM L HILL SR Create Date 07/16/2012
Contractor CUMINGS ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New 0 Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits - 2 Luminaires 3
Amps Switches 4 Receptacles 6
Appliances ,Blower
Use/Nature of 'SFR/House addition
Work
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: 1L,"1"1"""r\ Date 08/06/2012
[!, Permit Voided Parcel Id# 1400730100
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.
g 06 2012 9: 35AM CUMINGS ELECTRIC, INC. 920-722-0769
p. 1
Division og Inspection Services
4, 215 Church Avenue
f P.O. Box 1130
••I�►~•�,IN Fax Oe(920X 236-509430
Phone (920 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 08/08/12
JOB ADDRESS 2009 Nebraska JOB NO. 8276-00
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
TYPE, OVERHEAD S UNDERGROUND ❑ NOT APPLICABLE ED
NUMBER OF FIXTURES 3 SWITCHES 4 RECEPTACLES 6 CIRCUITS 2
AMPS _ VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER ❑
DISHWASHER ❑ FAN OR BLOWER ED FURNACE IS A/C ❑
ELECTRIC SIGN 0 MOTORS 0 GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE Remodel
VALUE (Including labor and all materials including light fixtures) $800.00
PERMIT FREE
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 En
#100-0750-2515-00000
Received Time Aug. 6. i 2012 9: 35/14 No. 0328