HomeMy WebLinkAbout0154190 - Electric (fire damage repairs) C.) CITY OF OSHKOSH No 154190
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3389 COUNTY RD A Owner PINE INVESTMENTS OF OSHKOSH LLP Create Date 01/17/2013
Contractor CUMINGS ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service ' New O Change O Temp - • N/A Type 0 Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of COMM/FIRE DAMAGE REPAIRS "debit acct
Work
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $94.00
on )
Issued By: C J r " ' ( J Date 01/17/2013
El Permit Voided Parcel Id# 1519607200
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 05 2012 8:49RM HP LRSERJET FAX p. l
Livioion of InupeOrlon Services
116 Churoh Avenue
F.O. pox 1130
Oshkosh, WI 54901-1130
Fax ()10) 2]4-5004
Phoho ne (P10) 13E-SO4L
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 12/05/12
JOB ADDRESS 3389 County Road A JOB N . 8532.00
OWNER Struensee Prooertlee
CONTRACTOR CIJMINGS ELECTRIC INQ.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY❑ DUPLEX❑ MULTI-FAMILY❑ RENTAL❑
COMMERCIAL® INDUSTRIAL❑
SERVICE: NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE ❑
TYPE: OVERHEAD ❑ UNDERGROUND ❑ NOT APPLICABLE
NUMBER OW FIXTURES - SWITCHES _ RECEPTACLES _ CIRCUITS
AMPS - VOLTS 1, PHASE
CHECK ALL APPLICABLE
AGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER ❑
DISHWASHER ❑ FAN OR BLOWER ❑ FURNACE ❑ A/C ❑
ELECTRIC SIGN .0 MOTORS ❑ GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE Fire Demos Repairs-Unknown Scooe of Work
VALUE (Including labor and all materials including light fixtures) $2,500.00 (Est.)
PZWQT BIM:
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 Chia processed through your account
4$100-0750-2515-00000
Received Time Dec. 5. 2012 7:49AM No. 183