HomeMy WebLinkAbout0154770-Electric � CITY OF OSHKOSH No 154770
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2025 NEBRASKA ST Owner RIDGEVIEW INVESTMENTS LLC Create Date 03/20/2013
Contractor CUMINGS ELECTRIC INC Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A � Type � Overhead � Underground '�
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Fan or Blower �I
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Use/Nature of FR/REMODEI BATHROOM "debit acct
Work I
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Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: �W Date 03/20/2013
❑ Permit Voided !i Parcel Id# 1401290100
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 749 NEENAH WI 54957 -749 Telephone Number (920)722-1240 ,
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�r 20 Z013 7: 30AM HP LRSERJET FRX p. i
� Divieion of =nrpecti�a Servicee
215 Church Avenue
p•�• 8oX 1130
� Oshkoob, 4ai Ba903-1130
H� (9a0) 236-508a
Phone (930J 236-50`6
ELECTRICAL PERMIT APPLTCATIQN
Al1 information after bold categoriee muet bc provided.
Incomplete applications will not be proceaeed.
DATE 03/20/13
Jos ADDRESS 2025 Nebraska Jo� No. 8823-OQ
ow�R D 17ritt
CONTRACTOR CUMIN S ELECTRIG INC,
CHECK ALL APPLICABLE
USE CATEDORY e SIIJGLE FP�ILY� DUPLEX� MULTI-FAMII,YQ RENTALQ
COMMERCIAL❑ INDUSTRIAL❑
9ERVICE� NEW � CHANGE � TEhIAORARY [] NOT APPLICAELE �
�p$� OVERHEAp � UNDERC3ROVNp � NOT AApLICABLE �
NaMBER OF FIXTURSS X 9WITCHE$ X RFCFs2TACLES X CIRCUZT$ X
�s _ VOLTB � p}�gE
CHECK ALL APPLICASZ,F
��� ❑ WATER HEATFR ❑ C,ARgApg DISP08AL ❑ DRYER � .
DI5HWA3HER � FAN OR BLOWER � FURNACE � A/C �
ELECTRIC SIGN � MOTORS [] GA3 pUMpB � OTHER
DgSCR=�T20N OF ALL 1�ORK SE2NQ DON6 Rem 91 Bathro
VAI+VE linaludiag labor and •ll matari�ls iaalufliag liqht fixturea) S�O,�Q
a�crz rES�
�ABTER ELSCTRICIAN Rlcherd Wenzel
SubmiC payment with application. Failure to pay w�thin 3o days will result in
fees being doubled or $100. 00 plus the r.ormal permit fee, which aver ia greazer.
OR
Check here iP vra want this roceesred thro� 1� ur account �
#100-0750-2515-00000
Received Time Mar, 20, 2013 7: 31AM No, 2570