HomeMy WebLinkAbout0155354-Electric � CITY OF OSHKOSH No 155354
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 621 MOUNT VERNON ST Owner JAMES D/ELAINE KRATZ Create Date 04/26/2013
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, Dryer - --- - �
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Use/Nature of FR/REMODEL BATHROOM ""debit acct -
Work ,
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Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: � Date 04/30/2013
❑ Permit Voided � Parcel Id# 0401970000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 749 NEENAH WI 54957 -749 Telephone Number (920)722-1240
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�r 30 2013 1 : 43PM HP LHSERJET FRK p. l
� Divieion o! Znepection Servicae
� 215 Church Avenue
P.O. 8oX 1130
�'�r'� oehkosh, W2 5a903-1130
6Ax (930) 236-5084
Phone (920) Z36-50�6
ELECTRICAL PERNlIT APPLICATIQN
Ali intormatioa after bold categoriea muet be provided,
IncomAlete app�icatione will not be proceeeed,
DArE 04/30/13
�70B ADDRESS 621 Mt. Vernon JoB No. 8934-00
owrrER D_,�I Trltt
coNTx�cTOR C�,1,[NINGS ELECTRIC INC
CFiSCK ALL APPLICA$LE
V8B CAT$GORY� 3INGLE FAMILY� DUPLEX❑ MULTI-FAMILY[� RENTALD
COMMERCIALQ INpUSTRIAL�
SERVICE: NEW � CHANGE ❑ TEMPORARY ❑ NOT APPLZCA$LF �
T�$� �ER� ❑ UND$RGROUND ❑ NOT APPLICABLE �
N'L1bQS$R OF FIXTUREB X SWITCH�S � RECBPTACLES X CII2CUITS X
�p� _ VOLTS � p�g�
CHECIC ALL APPLICABLE
RANGE ❑ WATER HEATER ❑ GARHApE DI$POBAL � DRYER �
DISHWA9HER � FAN OR $LOVPER � FURNACE ❑ A/C �
ELBCTRIC 3IGN � MOTOR9 ❑ GAS PUMPS ❑ OTH�R
D88CRIPTtON OF ALL, 1qORK asz�v aoN$ �emodel Bathroom
VALIIE (=nciudin,� labor and •11 mat�rislo iiscludiaq ligbt lixtuzso) 5S 0�.00 :
➢ss�r¢r aas�
ea►s�r$R szse-rR=c� Richard Wenzel
3ubmit payment with application. Failure to pay within 30 days will re�ult in
feee beir'ig doubled or $100. 00 �lus Ghe normal permit fee, which ever ie greater.
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Check here �f ou want this roceased Ct�rou h our dCCOUltt �
#100-0750-2515-OD000
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