HomeMy WebLinkAbout0154473 - Electric Dr #C CITY OF OSHKOSH No 154473
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1755 MARICOPA DR#C Owner 2004 KNAUF FAMILY TRUST _ Create Date 02/07/2013
Contractor CUMINGS ELECTRIC INC Category 633-Residential-Multi-Family Addition/Re Plan
Inspector Adam Krause
Service New 0 Change 0 Temp N/A Type 0 Overhead 0 Underground -
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances - -- _ _ -- -- -- it
Use/Nature of SFR/fire damage restoration-all work will meet state and local codes
Work
Fees: Valuation _ $3,600.00 Plan Approval - $0.00 Permit Fee Paid $121.00
Issued By:
Date 02/15/2013
_ - --
E Permit Voided i Parcel Id# 1315182300
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.
ilib 15 2013 12: 55PM HP LRSERJET FAX p. 1
0 21S Chur 11 Inspection Services
215 Church Avenue
P.O. BOX 1130
aciZZE Oehkoeh, C 54903-1130
Fix (9207 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 02/15/13
JOB ADDRESS 17550 Maricooa Drive JOB NO. 8698-00
OWNER Greenlee Condos
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY❑ DUPLEX❑ MULTI-FAMILY® RENTAL❑
COMMERCIAL❑ INDUSTRIAL❑
SERVICE: NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE
TYPE: OVERHEAD ❑ UNDERGROUND ❑ NOT APPLICABLE 23
NUMBER OF FIXTURES X SWITCHES X RECEPTACLES X CIRCUITS X
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER p GARBAGE DISPOSAL ❑ DRYER ❑
DISHWASHER ❑ FAN OR BLOWER ❑ FURNACE ❑ A/C ❑
ELECTRIC SIGN 0 MOTORS ❑ GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE REPAIR FIRE DAMAGE
VALUE (Including labor and all materials including light fixtures) $3,600.00
PERMIT 8E8:
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
#100-0750-2515-00000
Received Time Feb. 15. 2013 11 : 56AM No. 2333