HomeMy WebLinkAbout0099080-ElectricOSHKOSH
ON THE WATER
Job Address 2645 D HAVENWOOD DR Owner
Contractor CUMINGS ELECTRIC Category
Service ~) New 4~ Change O Temp I
Volts Circuits
Amps 0 Switches
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
MICHAEL G POTTER
633 - Residential-Multi-Family Addition/Re
Type O Overhead
1
1
No 99080
Create Date 11/05/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances --an or Blower
Use/Nature of MULTI-FAMILY / Wire lower level & add sub feed Panel. *Job #5553.
Work
Fees: Valuation $1,125.00 Plan Approval $0.00
Issued By:
Permit Fee Paid: $60.00
Date 12/13/2002
[] Permit Voided
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
ELECTRICAL PERMIT APPLICATION
All in£ormar:.ion af:ter bold categories taunt be provi¢lccJ,
Incomplet~ applicat ion:.~ w~,l,], nor, bc pr'oce:~snd.
JOB ADDRESS 26_45 D HAVENWOOD
O~NER M!KE_P_O. TTER
CONTRACTOR C, UMINGS ELECTRIC !N_C.
DATE ~
JOB NO. 5553
CHECK ALL APPLIC2%BLE
USE CATEGORY: SINGLE FAMILY~
COMMI~RCIAL~
SERVICE:
TYPE:
NUMBER OF
AMPS
INDUSTRIAL~
NEW [] CHANGE [] TEMPORAllY [] NOT APPLICABLE ~
OVERHEAD [] UNDERGROUND [] NOT API'LICABLE
FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS
VOLTS / P~ASE
CHECK ALL APPLICABLE
RANGE [] WATER HEATER [] GARBAGE DISPOSAL [] DRYER []
0ISHWASHER [~ f'AN OR BLOWER [] FURNACE [] A/C []
ELECTRIC SIGN [] MOTORS [] GAS PUMPS [] OTIIRR
DESCRZ~TION OF AI.~. WORK )EING DONE WIRE LOWER LE_V_EL_& ADD SUB FEED_PANEL
VALU~ (In¢ludiDg labo~ and all materials Xncluding light £ixture~) $1125.00
~STER E~CTRICI~ RICH6RD J_WENZEL
Submit p,~yment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal ~ermit fee, which ever is greater.
OR
Check her'.c~._~_~ y~.~u w,~n~ ~his pz-oceq~'~d t.b,~'Ou,,//, yOU~' O~?~?oun~ ~
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