HomeMy WebLinkAbout0157303-Electric � CITY OF OSHKOSH No 157303
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3265 WHITE TAIL LN Owner MIDWEST GENERAL CONTRACTORS Create Date 05/15/2013
Contractor CUMINGS ELECTRIC INC Category 631 -Residential-New Multi-Family Wiring Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A _ _; Type � Overhead � Underground
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Volts __ 120/240 Circuits Luminaires
Amps __ 400 Switches Receptacles
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Appliances Range, Dishwasher,Water Heater,Garbage Disposal,Furnace, Dryer,A/C
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Use/Nature of OMM/NEW 6 UNIT MULTIFAMILY/1 story units with two car attached garages and rear decks. The basements are unfinished.
Work "debit acct
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Fees: Valuation $30,000.00 Plan Approval $0.00 Permit Fee Paid $318.00
Issued By: �,� �
Date 08/20/2013
❑ Permit Voided� Parcel Id#
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.
g 19 2013 1 : 37PM HP LRSERJET FRX p, i
� Divioioa o[ Inepectioa e�rvic�e
� 2�5 Church Avenue
?.0. Box 1130
T'S'TC�p�S']� Orhkoeh, S4Z 54903-133D
s11��❑ Fax (920! Z36-508a
Phone (9Z0) 236-50`6
LLECTRICAL PERMIT ApPLICATION
A11 information after bold cat�goriee mu�t be providefl.
Incomplete applicatione wxll not be proce�aed.
DATE 19/13
JoB ADDRESS 3265 Whitetail Joa No. 8937
owNER Midwe t eneral Contr ctors
CONTxACTOR C�l MINGS ELECTRIC INC.
CH�CK ALL APPLICABLS
V8E CATEGORY: SINGLE FAMILY❑ DUPLEX❑ MULTI-FAMILY� RENTAL[�
CONIMERCIAL❑ INDUSTRIAL�
$ERVICSt NEW � CHANGE [] TFMPORARY ❑ NOT ApPLTCABLE ❑
TYpE: OVERHEAD [� UNDEROROUND � NOT APALICABLF Q
N'LJD�$R OF FIXTURFyS X SWITCH�S X RECFsPTACLES X CIRCL]ITB X
�►rsPa 400 voLrs 120/240 p�sE 1
CXECK ALL APPLICA8L8
RA,NGE � WATER HEATER � 4AR$AGE DISPO$AL � DRYER �
DISFiV�7A9HER � FAN OR HLOWER ❑ FURNACE � A/C
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SLECTRIC BIGN � MOTOR$ [] GAS PUMP9 �] OTIiER
DEBCRIpTION OF ALL WORlC HEING DONg N w 6-Unit
VALQS (=noiudiag labor aad wl1 maCOri��s iaalu8ing liQht tixtur�a) �Q,O��.QQ
rea�aT res�
e�►sTa�t ELECTAtCxua Ri I�d Wgnz .
Submit payrnent with application. Failure to pay withia 30 daye will reault in
fee� being doubled or $100. 00 plu� the normal permit fee, which ever is greater.
OR
Check here �t ou ovant thie rocea�eed throu h our account �
#100-p750-2515-OD000
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