HomeMy WebLinkAbout0099180-ElectricOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Amps 0 Switches 1
No 99180
Job Address 1035 1037 W SOUTH PARK AVE Owner WINNEBAGO COUNTY HOUSING AUTH Create Date 10/11/2002
Contractor CUMINGS ELECTRIC Category 623- ResidentiaI-DuplexAddition/RemodE Plan
Service D New O Change O Temp I Type O Overhead (~ Underground
Volts Circuits 1 Fixtures
Receptacles
Appliances
Use/Nature of Group Home/Wiring for: Interior alterations to convert duplex into a 6 resident group home. Remodel Kitchens/dining areas by
Work combining into 1 large kitchen/dining area. Add a 15x26 rear Activity Room addition with 6x10 roofed entrance. *Job #5576
Fees: Valuation
Issued By:
$2,300.00 Plan Approval $0.00 Permit Fee Paid $75.00
Date 12/26/2002
[] 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
Divl':ion ~£
215 Church
~.O. ~ox 1130
O~O/N ,),~kosh, WI 54903-113~
~,~ ~'., w,n'~ FaX {920) 236-5084
Pho~a (92~) 236-5046
ELECTRICAL PERMIT APPLICATION
Ali information aft;e~.' bold c~tte~.iori~s must be provided.
incomplete applications will not be proco..qm~d_
JOB ADDRESS 1035 $ PARK AVE.
OWNER SOUTH PARK GROUP HOME
CONTRACTOR CUMINGS ELECTRIC INC,
DATE 12J20102
ao~ NO. 5576
CHECK ALL APPLICABLE
USE CATEGORY~ SINGLE FAMILY~ DUPLEX~ NULTI~f~MILY~ RENTAL~
COMMERCIAL~ INDUSTRIAL~
SERVICE: NEW [-"] C~IANCE ~ TEMPORARY [] NOT APPLICABLE []
TYPE: OVERHEAD ~ UNDERGROUND [] NOT APPLICABLE []
NUMBER OF FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS
AMPS . VOLTS /__ PHASE -
CH~CKALL APPLICABLE
RANGE []
DISHWASHER []
ELECTRIC SI(;N []
WATER HEATER []
FAN OR BLOWER []
MOTORS []
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS []
DESCRIPTION OF ALL WORK BEING DONE REMODEL AND ADDITION
DRYER
A/C []
OTHER
VALUE (Including labor and all matez-£al$ including light fixture-"-) $2300.00
PEM,fXT FEI~;
~STER ELECTRICI~ RICHARD J WENZEL
Submit payment with application. Failure to pay within 30 day~ will result in
feen being doubled or $'100.00 plus thc normal permit fee, which ever is greater.
OR
~ 100-0790-251b-00000
I'8 69L0 EEL 0~8 I33 ~0~:80 ~00~ ooO