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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 102821
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
3155 HAYWARD AVE
Owner
THOMAS N RUSCH
Create Date 07/11/2003
Contractor
CUMINGS ELECTRIC
Category 612 - Residential-Single Family Addition/ReI
Plan
Service
10 New
120/240
0 Change
0 Temp
Type
10 Overhead
0 Underground
Volts
Circuits
Fixtures
Amps
200
Switches
Receptacles
Appliances
Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/ Wiring new home. * Job #6271.
Work
Fees: Valuation
$3,500.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Issued By:
Date 07/14/2003
U Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
PO BOX 749 1414 COUNTY RD JJ
NEENAH
WI 54957 - 749
--
Telephone Number
231-5946
J.u I -II 03 12, oap
eEl
920 722 0769
p. I
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O~t!:pfH
H" ^'"
Div"'lon of In.,.,ccHon "..'vico.
.1> Church Avollue
",0, nex 1130
aSnkO"h, WI 5<90j-1130
Ca. (920) 236-506.
Phe,," (nO) 236-'046
ELECTRICAL PERMIT APPLICATION
A]' lnformiltion after bo"¡ ""t"qMi"" must b.., provided,
Incnmpl"t~ "ppli",11:tOO" will not be pro":<"3~.",L
tþ---7. 7j;¡!o?@3:</O!f)?
3~ -:::.- . . --- DATE ~
AYWARD j./U.uI ~"';f"- JOB NO. 6271
¡1/ 0 an S-cu-VI '
TZ, HEARTLAND HOMES
JOB ADORES
OWNl::R CRAI
CONTRACTOR CUMINGS ELECTRIC INC,
CHECX ALL APPLICABLE
USE CATEGORY: SINGLE J;AMILYt8)
COMMERCIAL[]
SERVICE: NEW IZJ CHANGE []
DU!'LEX[] MULTI-FAMII,Y[] RENTAL[]
INDUSTRIAL[]
TEM!'ORARY [] NOT APPL¡CABLE [J
UNDeRGROUND 1253 NOT A!'PLICABL¡;; []
1"YPI';:
OVERHEAD 0
NUMBER OF
FIXTURES X
CŒCUITS X
SWITCHES X
RECEPTACLES X
lIMPS 200
VOLTS 120/240
PHASE 1
CRECIt ALL APPLICABLE
RANGE 1253
DISHWASHf.R 1253
WATER HEATER ¡g¡
GARBAGE DISPOSAL IZJ
FAN OR BLOWER 1253
¡;'URNACE 1253
ELECTRIC SIGN []
MOTORS []
GAS PUMPS []
DESCRIPTION OF ALL WORlt BEING DONE NEW HOUSE
DRYER t8)
A/C ~
OTHER
VALUIi: (Ino1.u<ling labOr and a11. materia1... .i.ne1.ud:i.ng- 1.ight f:i.x,,-ure,,) $3,50_0,00
""..... l'2;E,
MASTER EIJ;;CTRICIAN RICHARD J WENZEL
Submit payment with ¡¡pplic.~tion. ~-ailure to P¡¡y within 30 ddY~ will r'"sult, in
fees being doubled Or $100,00 pI us the norm"l permit fee, which ev...r is gre.,tt".L
OR
(è~",'k her:c. if yo'L-want I,ll is 1"':9.""""",1 th,ó.~gur ,""",,11>" 181
11.1 (}0-075D-2'. ) 5-00000
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