HomeMy WebLinkAbout01543736 - Electric (wire lights and fans) CITY OF OSHKOSH No 154373
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1755 MARICOPA DR#A Owner JAMES J/DIANA L GREEN Create Date 02/06/2013
Contractor CUMINGS ELECTRIC INC Category 633-Residential-Multi-Family Addition/Re Plan
Inspector Adam Krause
Service New O Change 0 Temp S N/A J Type 0 Overhead O Underground
Volts Circuits _ Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of CONDO UNIT/WIRE LIGHTS AND CEILING FANS **debit acct
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: Date 02/06/2013
❑ Permit Voided) Parcel Id# 1315182100
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.
u,,.- ---- -- - -__
b 06 2013 4: 03PM HP LASERJET FAX p. 1
61 Division of znepec=lvn services
215 Church Avenue
H.O. Box 1130
Oehkoah, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 02/06/13
JOB ADDRESS 1755A Maricopa . JOB NO. 8731-00
OWNER GreenTee Condos
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 ❑ UNDERGROUND ❑ NOT APPLICABLE
NUMBER OF FIXTURES 4 SWITCHES 3 RECEPTACLES CIRCUITS
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER ❑
DISHWASHER ❑ FAN OR BLOWER ❑ FURNACE ❑ A/C 0
ELECTRIC SIGN ❑ MOTORS ❑ GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE Wire Lights and Ceiling Fans
VALUE (Including labor end all materials including light fixtures) $500,00
PERM= FEZ.
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 5g
#100-0'750-2515-00000
Received Time Feb. 6. 2013 3: 04PM No. 2254
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