HomeMy WebLinkAbout0157675-Electric /�'� CITY OF OSHKOSH No 157675
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 16 CHATEAU TER Owner BRIAN G ZIEGLER Create Date 09/09/2013
Contractor CUMINGS ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A Type � Overhead � Underground J
Volts _ Circuits Luminaires
Amps Switches Receptacles
Appliances
f �
Use/Nature of 5FR/Electrical to remodel the basement. All construction shall comply with State and local building codes.
Work �
,
i �
�
Fees: Valuation $1,600.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date 09/12/2013
� Permit Voided', Parcel Id# 1527610000
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.
�p 12 2013 7: 38RM HP LRSERJET FRK p, l
� Divieion of znepeotion servioes :
� Y15 Church Avenue
P.O. Hox 1130
� 0821Jto�11, WI SG903-1130
Fax (920) 236-508a
Phone (920� 236-5�46
ELECTRICAL PER�IT APPLICATION
All information aftez bold cdtegorieg muet be provided.
Incomplete application� will not bo proceeeed.
DATE 09/12/13
►7oB x�DR�ss 16 Chateau Terrace JoB No. C388-00
owtsE� Del Tritt Cor��truction
co�CTOR CUMINGS ELECTRIC INC.
CFITGIt ALL APpLICA�L�
IISE CAT�G�RY� sINGLE FAMII,Y� DUPLF�C❑ I�IULTI-FAMILY� RENTAL�
COMMERCIAL� INDU9TRIAL�
88RVICE� NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICAHLE �
TYPE� OVERHEAD ❑ vrrDERaROtn� ❑ NOT APPLZC�LS �
NiJb�SR OF FIXTURES Z( SWITCHES X RECEPTACLES X CIRCUITB
AMPB _ VOLTB � PHA9E
CHSC� ALL AYPLrG►BLS
RANGE ❑ WATER HEATER ❑ OARHAQE DISP03AL ❑ DRYER ❑
DISHWASHER ❑ gAN OR BLOWER � FURNACE ❑ A/C ❑ '
ELECTRIC BIaN ❑ MOTORB ❑ GAS PUMPS [) OTHER
DEBCRIPTION OF I►LL wORit HSINa DONE New Addltlon
VALUE (IacluainQ labor and all m���ri�ls including liqtit fixCUr.�) $�.6�0.0�
tiSi�lZT F�i:
b�8T8R SLSCTRIC=A!Q Richard Wenzel
8ubmit payment with application. Failure to pay within 30 days will result in '
fees being doubled or $100 . 0o plue th� normal pezmi� fee, which ever is greater.
OR
Cl�eck here if you want th�s �roceased thror�ah yo�zr account �
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