HomeMy WebLinkAbout0158308-Electric (LED lights) � CITY OF OSHKOSH No 158308
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1255 W 20TH AVE _ Owner MARK AVIATION Create Date 10/17/2013
Contractor CUMINGS ELECTRIC INC_ _ Category 643-Commercial-Addition/Remodels Plan
Inspector
Service ' New � Change � Temp � N/A ' Type 0 Overhead 0 Underground !
Voits _ Circuits Luminaires
Amps Switches Receptacles
Appliances ---- - -�
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Use/Nature of iCOMM\Install LED lights — ,
Work
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Fees: Valuation $2,700.00 Plan Approval $0.00 Permit Fee Paid $104.00
Issued By: �� Date 10/17/2013
❑ Permit Voided' Parcel Id# 1323010006 '
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.
�t 16 2013 1 : 36PM HP LASERJET FRX p, i
� Divi�ion of iaapeatior3 e�rvicae
� 215 Churoh Avenue
p•0. 8ox 1130
�e�C+Rr�Ple-`� Or�lcoeh, WS 54903-ii30
Fax 1920) 936-5064
phone (920) Z36-5D96
ELECTRICAL PERMIT APPLICATION
1a11 infcrmation after bold categoriea mu�t be provided.
Incornplete appliCationo will not be preceaeed,
DATF 10l1 B/13
JoB �np�ss W. 20th Ave. - Air,�rt�Hanaar /�� Joa No. C494-00
�
OWNER Midwest General
CONTRACTOR CUMING ELECTRIC INC.
CHECK ALL APPLICABLE
V9F CATEGORY: BINGLE FAMILY❑ DUPLEX❑ MULTI-FAMZLY❑ REIITAL❑
CON�+IERCIAL� INDUSTRIALQ
BERVICE� NE49 � CHI�.IQGE � TEMPORARY � NOT APPLICABLE ❑
TYPS: OVERHEAD � UNDERaROUt�TD � NOT APPLICABLS �
N�I�ER OF FIXTURES Z( SWITCHES RECEPTACLE9 _ GIRCUITB
AMP6 _ VOLTB � PHABS
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER � GARBAGE DIBPOSAL � DRYER �
DISHWASHER � FAN OR BLOWER ❑ FUR,NACE [] A/C [�
ELECTRIC 6IC3N ❑ MOTORS � GAS PUMPS ❑ OTHER
DF6CRIPTIOl� OF ALL WORK HEINp DO1QS Install LED Llahts
VALU$ (=nelufliag le�bor ana all matsria�ls inolufling light rixtur�e) $ 27�O.�Q
PERIQ=T !'SE�
n�rsR $z$cxa=c=ax rd Wenzel
8ubmit payment with application. Failure to pay withiri 30 days will reeult in
feee being doubled or 5100 . 00 plua the normal permit fee, which ever ie greater.
OR '
Check l�ere if oa a►ant L1�.is rocessed throu h our account �
#100-0750-25�5-00000
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