HomeMy WebLinkAbout0156716-Electric /�'J CITY OF OSHKOSH No 156716
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1934 FABRY ST Owner LUCIA L FRANZEN Create Date 07/16/2013
Contractor CUMINGS ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change Q Temp � N/A Type Q Overhead 0 Underground I
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances ,
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Use/Nature of FR\Addition and garage wiring.
Work
Fees: Valuation $1,080.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: ���— Date 07/16/2013
❑ Permit Voided� Parcel Id# 1412480000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 749 NEENAH WI 54957 -749 Telephone Number (920)722-1240
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
1 16 2013 7: 11RM HP LRSERJET FRX p. l
� Divieioa of xnayeoelar► s�rvic•a
215 Cburch Avenue
P.O. Hox 1130
�'� aBllkoah, WI 54903-1130
Fa.x (990) 236-60A4
Phone f9Z0) 236-5046
ELECTRICAL P$RMIT APPLICATYON
All inLormation after bold cAtegoriea muet be provided,
Incomplete applicatione will not be proceeeed.
DATE 7/16/13
JoB ADDRESS 1934 Faby sos No. C240-00
OWNER Del Tritt Construction
corr�r�cTOR CI�M(NGS ELECTRIC INC.
CHECK ALL APPLICABLE
U8E CATEQORY: SINGLE FAMILY� DUPLEXQ MULTI-EAMILYQ RENTAL❑
COMMERCIAL❑ INDUSTRTAL❑
eERVIC$� NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICAHLE �
TYPS: OVERHEAD ❑ UNDERGROUND ❑ NOT APPLICABLE �
IQQMBER OF FIXTURE3 X BWITCHES X RECEPTACLES X CIRCUITS X :
AMPB 'IOQ VOLT9 'I20/240 PHABE 1
CH�CR ALL APPLIC718L$
RANGE ❑ WATER HFATER ❑ GARSAGE DISPOSAL ❑ DRYER ❑
DISHWASHER ❑ FAN OR BLOWER ❑ FURNACE ❑ A/C ❑ .
ELFCTRIC SIC�N ❑ MOTORS ❑ GAS PUMP3 ❑ OTHER
DE6C&IPTION OF ALL P10RK BEINQ DONE Addition 8 Garaqe Wirina
VALVE (IaaludiaQ laber assG ♦l� matsriais laclualaQ lipht fixtures) 5�.0�0.00
v��a=m P�e�
�►e�sn sz$cTRrc=Art Rl�hard Wenzel
9ubmit paymeat with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plue the normal permit £ee, which ever ie greatar.
OR
Check here .if you wttnt th�s p,roce�eed through yot�r 3CCOluit �
#100-0750-2515-OOOQO