HomeMy WebLinkAbout0154161 - Electric (bathroom remodel) 0 CITY OF OSHKOSH No 154161
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1732 SOUTHLAND AVE Owner THOMAS/NANCY LLOYD Create Date 01/15/2013
Contractor CUMINGS ELECTRIC INC _ Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
-- - - _ - --
Service 0 New O Change O Temp • N/A Type 0 Overhead O Underground
Volts Circuits 1 Luminaires
Amps _ Switches —_ 2 Receptacles 2
Appliances
Use/Nature of SFR/BATHROOM REMODEL **debit acct
Work
Fees: Valua' n A $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
Issued By: Date 01/15/2013
0 Permit Voided 1 Parcel Id# 1611030000
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.
Date
Signature
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.
I in 15 2013 8: 19AM HP LASERJET FAX p. 1
elDivision of Inspection 6erviaee
215 Church Avenue
P.O. Box 1130
.7,::►!•�I= Eaxxc/1(920) 5:25-0t,133°
36 050 94 3 0
/ \ 1 Phone (92D) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 01/15/13
JOB ADDRESS 1732 Southland JOB NO. B676.00
OWNER Tritt. Del
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY® DUPLEX❑ MULTI-FAMILY❑ RENTAL❑
COMMERCIAL❑ INDUSTRIAL❑
SERVICE' NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE ED
TYPE: OVERHEAD p UNDERGROUND ❑ NOT APPLICABLE ED
NUMBER OF FIXTURES 2 SWITCHES 2 RECEPTACLES 2 CIRCUITS 1
AMPS VOLTS / 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 Bathroom Remodel
VALUE (Including labor and all materials including light fixtures) $600.00
PERMIT MEET
MASTER 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
#100-0750-2$25-00000
Received Time Jan. 15. 2013 7: 20AM No. 2089
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