HomeMy WebLinkAbout0153820 - Electric (kitchen remodel) el) CITY OF OSHKOSH No 153820
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1010 CEAPE AVE Owner PAUL J/GAYE L MERTZ Create Date 11/28/2012
Contractor CUMINGS ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan _
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts _ Circuits 6 Luminaires 4
Amps Switches 5 Receptacles 5
Appliances
Use/Nature of SFR/KITCHEN REMODEL **debit acct
Work
Fees: Valuation _ $1,00.0.00 Plan Approval $0.00 Permit Fee Paid $__60.00
Issued By:Cpl! Date 12/04/2012
❑ Permit Voided Parcel Id# 0802360000
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.
c 04 2012 3: 58PM HP LFISERJET FAX p. 1
elDivision of inspection Services
215 Church Avenue
P.O. Box 1130
'7•M T, YalTA! Fa2lk° (920) 23 -5Q54 3 0
,` Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories muet be provided.
Incomplete applications will not be processed.
DATE 12/03/12
JOB ADDRESS 1010 Ceape JOB NO. 8605-00
OWNER Ready Builders
CONTRACTOR CUMINGS ELECTRIC INC,
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILYE DUPLEX❑ MULTI-FAMILYD RENTAL❑
COMMERCIALQ INDUSTRIAL❑
SERVICE! NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE E
TYPE: OVERHEAD ❑ UNDERGROUND ❑ NOT APPLICABLE E
NUMBER OF FIXTURES 4 SWITCHES 5 RECEPTACLES 5 CIRCUITS
AMPS - VOLTS PHASE
CHECK ALL APPLICABLE
RANGE E WATER HEATER E GARBAGE DISPOSAL E DRYER ❑
DISHWASHER E FAN OR BLOWER ❑ FURNACE ❑ A/C ❑
ELECTRIC SIGN 0 MOTORS ❑ GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE Kitchen Remodel
VALUE (including labor and all materials including light fixtures) $1000,00
PERMIT rim'
EASTER ELECTRICIAN Richard 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 ED
0100-0750-2sls-00000
Received Time Dec. 4. 2012 2: 59PM No. 1839
I