HomeMy WebLinkAbout0155975-Electric � CITY OF OSHKOSH No 155975
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 1127 S WESTFIELD ST Owner MATTHEW J/ALLISON E HORTON Create Date 06/04/2013
Contractor CUMINGS ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause ,
Service 0 New 0 Change � Temp � N/A Type 0 Overhead � Underground I
Voits Circuits Luminaires
Amps Switches Receptacles
Appliances Disposal&dishwasher :
� _�
Use/Nature of SFR/Remodeling the kitchen to include new cabinets,countertops and flooring. No walls are being opened.
Work
Fees: Valuation $726.00 Plan Approval $0.00 Permit Fee Paid $54.00
Issued By: �� Date 06/04/2013
�
� Permit Voided I Parcel Id# 1309230000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenbOwner
Address PO BOX 749 NEENAH WI 54957 -749 Telephone Number (920)722-1240 :
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
n 04 Z013 7: 58RM HP LRSERJET FRX p. l
� 7ivi�ioa ot In�nsction Servicse
� 215 Chuzch Avenue
P.O. Box 1130
� Oohkoeh, wI 5i903-1130
F2x (920i 236-506i
Phoae (9zo; a36-5046
ELECTR�CAL PERM=T APPLICATTON
All information after bold categoriee muet be provided.
Indomplete applicAtione will not be proceaeed.
DATE O4/1
JOB ADDRESS 1127 S0. Westfield Jos N0. C113-00 '
OWNER Del Trltt
CoNTRACTOR �Jl MINGS ELECTRIC INC.
CHECR ALL APPLIGA�LE
U8E CATE�ORY� SINGLE FAMILY� DUPLEX� MULTI-FAMILY❑ R�TTAL�
CON�IERCIAL❑ INDUSTRIAL❑
6ERVICE: NEW ❑ CHANC3E � TEMPORARY ❑ NOT APPLICPBLE �
TYp�= aVE12H�AD ❑ ZJNDERGROUND ❑ NOT APPLICABLE �
NVAlHBR OF FIXTUR89 X 9WITCHE6 X RECEPTACLE$ X CIRCUITS X
�g _ VOLTB L PHABE
CH�CX ALL APPLYCAeLB
RANGE � WATER HEATER ❑ GARBAGE DI8P06AL � DRYER [�
DI$HWASHER � FAN OR BLOWER ❑ FURNACE Q A/C �
BLECTRIC 3=GN � MOTOAS Q GA8 pU1v(pg � OTHER
DEBCRIPTION Og ALL WORK B�INO DONE emode�
VALUB (Iacludiag labor aad aii n�teriala i�cludiaq li�ht tixturee) 7�g,QO
DL7�t3(ZT !E�i
IO►STER BL�CTRIC=ADi Rich�rd Wenzel
Submit payment with application. Failure �o pay within 30 daya will result in
fees beirlg 8oubled vr $100.00 plus the normal pezmit fee, which ever ia greater.
OR
check here �f vou want th�e �xoceeaed through vour sccount �
#100-0750-2515-Op000 � � '"