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ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 1237 LIBERTY ST Owner
Contractor CUMINGS ELECTRIC Category
Service ~) New O Change O Tamp I
Volts Circuits
Amps 0 Switches
LOIS P/PATRICIA HODGELL LIFE ESTATE
612 - Residential-Single Family Addition/R
Type ~ Overhead
0
0
No 99178
Create Date 10/31/2002
Plan
(~_ Underground
Fixtures
Receptacles
Appliances
Use/Nature of ;FR/7x12.5 second floor addition to bedroom. Room addition and sub panel * CEI Job #5574
Work
Fees: Valuation
Issued By: /
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
[] Permit Voided
Date 12/23/2002
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
l~'~(:om~h~.te .~pp.],ication:'~ will not be? Hroccnsc~d.
JOB ADDHESS 1237 LIBERTY ST.
OWNER STAN LEACH
CONTRACTOR CUMINGS ELECTRIC INC.
DA"t" ~ 12-23-_.02
,~o~ ~o. 5574
CHECK ALL APPLICABLE
USE CATEC, ORY~ SINGLE FAMZLY~ DUPLEX~ MULTT-FAMILY~ RENTAL~
COMMERC i'AL~ J N DU STR I A;.,~
SERVICE: NEW [] C. HANGE [] TEMPORARY [] NOT APPLICABLE []
TXP~; OVERHEAD ~ UNDERGROUND ~ NOT APPLICABLE
~ OF FIXTURES ~ SWITCHES ~ RECEPTACLe5 ~ CIRCUITS ~
~s _ VOLTS ~ m~Sm _
C~ECK ALL APPLICABLE
RANGE ~
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN (.)R BLOWER []
MOTORS []
GAHI~AGE DISPGSAL []
VURNACE []
GAS PUMPS []
DRYER
OTHER
DESCRIPTION OF A'L.L WORK BEING DONE ROOM ADDITION AND SUB .P.ANEL
VA~LLTE (Including labor and all materials incluch%ng light fixtures) $500.00
P~RMZT F~-E:
MASTgR ~-L~CTRICIAN RICHARD J WENZEL
Submit payment with application. ~:ailure., to pay within 30 d,~ys will ro...qu~t in
fees being double, d or $100.00 plus ~h¢: normal permit £ee, which ¢:vcr is gr(:atcr.
OR
fl 1 ()[1-07~'~,0 -2!) ] 5- rl ')000