HomeMy WebLinkAbout0099554-ElectricOSHKOSH
ON THE WATER
.lob Address 2315 SHORE PRESERVE DR
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARK O FASEL CUSTOM BUILT H
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 1
Switches 1
No 99554
Create Date 01/14/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/Wiring for new home. *Job #5661.
Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
$90.00
Date 01/22/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
D~'zision of Ln--pecrion :~ervic'em
219 Church Aveln~O
(920) 2'36- 50;14
(920) Z36-~O46
ELECTRICA~G PEP. MIT APPLICATION
Ail intormation ,']itc:r bold catc:(.:lOri, en
Tr, cnmpl ~':~".~-: ,'q',,p I -i c,',l,'; .,,:'~ wi .1,1
JOB ADDRESS 2315 SHORE PRESERVE DR;
OwNgA MARK FASEL
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 01/22/03
,m~ NO. 5661
DUPLEX~ HULTI-FAMI LY~ P,E NTAT.,I--]
'I'NDUSTRIAL~
NEW [] CHANCE [] TEMPORARY [] NOT APPLICABLE []
UNDERGROUND []
NOT APPLICABLE []
CHECK ALL APPLZCAJ~LE
USE CATEGORY: SINGLE FAMILY~
COMMERCIAL~
SERVICE:
TYPE: OVERHEAD ~
NUMBER OF FIXTURES ~ SWTTCIIK$ ~ RECEPTACLES ~ CIRCUITS
VOLTS 120/240 P~ASZ I
SHKCK ALLAPPL/~ABLE
RANGE []
DISHWASHER []
ET.ECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER
MOTORS []
(;ARBACF, DISPOSAL []
FURNACE []
GAS PUMP.~; []
DESCRIPTION OF ALL WORK BEING DONE NEW HOU$~
DRYEI'), []
~/c []
OTHgR
VALU~ (Including labor ~uad all materials including light fixtures) $3,500.00
PEIhMIT FEE ~
M~S~S~t ~-~C~XCIAN RICHARD J WEN. Z.E.L
~;ubmit p;~ymant with application. Failure [o pay with4u 30 days will rc.~ult i.n
~ee$ bein9 doubl(.~d of $100.00 plus the normal permi~ £e~., which ever is qreater.
OR
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