HomeMy WebLinkAbout0152236 - Electric CITY OF OSHKOSH No 152236
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 413 E LINCOLN AVE
Owner JUDITH A KALLMAN TRUST Create Date 09/10/2012
Contractor COMINGS ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector John Zarate
Service 0 New 0 Change 9 0 Temp • N/A
Type 0 Overhead � ground
Under
Volts
Circuits
Amps Luminaires
Switches
Appliances r _ Receptacles
Use/Nature of ISFR/KITCHEN REMODEL **debit acct
— —
Work
Fees: Valuation $600.00 Plan Approval
Issued By: �/�/� $0.00 Permit Fee Paid
C�// I0 $32.00
Date 09/10/2012
❑ Permit Voided ! Parcel Id# 1004050000
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.
p 10 2012 11 : 13RM CUMINGS ELECTRIC, INC.
920-722-0769 p. i
ED 215 Church of Inepeotion Services
215 Church Avenue
P.O. Box 1130
WORMS ia. FaxkOg C 3) ;T:;:!"6-:0:6 0 3
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
JOB ADDRESS 413 E. Lincoln DATE 9/10/12
OWNER F sel
JOB No. 6344.00
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY) SINGLE FAMILY® DUPLEX❑ MULTI-FAMILY❑ RENTALD
COMMERCIAL❑ INDUSTRIAL❑
SERVICE: NEW ❑ CHANGE ❑ TEMPORARY
❑ NOT APPLICABLE
TYPE: OVERHEAD ❑ UNDERGROUND
❑ NOT APPLICABLE
NUMBER OF FIXTURES X SWITCHES X RECEPTACLES X CIRCUITS
AMPS _ VOLTS
__j_.__ PHASE
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 K�hen Remodal
VALUE (Including labor and all materials including light fixtures) 60,00
VALUE
FEa
MASTER ELECTflrctAid RICHARD J WEN Fi
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 It ou wane this -rocessed throu•h our acaounC ED
#100-0750-2515-00000
Received Time Sep. 10. 2012 11 : 13AM No. 0771