HomeMy WebLinkAbout0154971 - Electric (service change) 0 CITY OF OSHKOSH No 154971
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1415 W BENT AVE Owner NORMA LANGLITZ ETAL Create Date 04/08/2013
Contractor CUMINGS ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service 0 New • Change O Temp O N/A Type • Overhead O Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances y4/C
II
Use/Nature of DUPLEX/SERVICE CHANGE AND CENTRAL A/C WIRING **debit acct
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By:25111,0 Date 04/08/2013
❑ Permit Voided Parcel Id# 1200970000
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.
I. 08 2013 10: 03AM HP LRSERJET FAX p. 1
(g) Division of Inspection Services
215 Church Avenue
P.O. Box 1130
i7i:Ii ij. Fex ca(920) 236-50Ba30
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 04/08/13
JOB ADDRESS 1415 W. Bent Avenue Jos NO. B863-00
OWNER Dittmer,_ Ralph
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
U9E CATEGORY. SINGLE FAMILYZ DUPLEXO MULTI-FAMILY❑ RENTAL❑
COMMERCIAL❑ INDUSTRIAL
SERVICE: NEW ❑ CHANGE ® TEMPORARY ❑ NOT APPLICABLE 0
TYPE: OVERHEAD ® UNDERGROUND ❑ NOT APPLICABLE ❑
NUMBER OF FIXTURES _ SWITCHES - RECEPTACLES _ CIRCUITS
AMPS log VOLTS 120/240 PEASE 1
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER ❑
DISHWASHER 0 FAN OR BLOWER ❑ FURNACE ❑ A/C ED
ELECTRIC SIGN ❑ MOTORS ❑ GAS PUMPS ❑ OTHER
DESCRIPTION Or ALL WORK BEING DONE Service Change art Central A/C Wiring
VALUE (Including labor and all materials including light fixtures) $1,200.00
PBRaaT 31181
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 i f u want this rocessed through your account
#100-0750-2515-00000