HomeMy WebLinkAbout0154235 - Electric (replace fixtures) 0 CITY OF OSHKOSH No 154235
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 525 W 20TH AVE Owner WINNEBAGO COUNTY Create Date 01/21/2013
Contractor CUMINGS ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause -_
Service 0 New O Change 0 Temp • N/A Type Q Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches _ Receptacles _
Appliances
Use/Nature of COMM/REPLACE FIXTURES IN FRONT HANGAR **debit acct
Work
Fees: Valuation $5,200.00 Plan Approval $0.00 Permit Fee Paid $155.00
Issued By: Date 01/21/2013
El Permit Voided) Parcel Id# 1413530000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 749 NEENAH WI 54957 -749 _ Telephone Number (920)722-1240
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
in 21 2013 12: 19PM HP LASERJET FAX p. 1
0 n Bo of Inageation Services
2.5 Church Avenue
P..00.. Box x 1130
Oahkoeh, WI 54903-1130 •
Fax (920) 236-6084
?hone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 01/21/13
JOB ADDRESS 525 W. 20'" Ave. JOB pro. B684-00
OWNER Basler Turbo
CONTRACTOR CUMINC$ ELECTRIC INC.,
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY❑ DJPLEX❑ MULTI-FAMILY❑ RENTAL❑
COMMERCIALE INDUSTRIAL❑
SERVICE: NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE E
TYPE: OVERHEAD ❑ UNDERGROUND ❑ NOT APPLICABLE E
NUNFAR OP FIXTURES _ SWITCHES _ RECEPTACLES _ CIRCUITS
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER ❑
DISHWASHER p FAN OR BLOWER E] FURNACE ❑ A/C ❑
ELECTRIC SIGN El MOTORS El GAS PUMPS ❑ OTHER X
DESCRIPTION OF ALL WORK BEING DONE Replace Fixtures in Front.Hangar
VALUE (Including labor and all materials including light fixtures) $5,200.00
PERMIT FEE'
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 went this processed through your account El
#100-0750-2515-00000
Received Time Jan. 21. 2013 11 : 20AM No. 2132