HomeMy WebLinkAbout0099659-Electric (washer circuit)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
512 EVANS ST
CUMINGS ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner PINE APARTMENTS V LLC
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 0
No 99659
Create Date 01/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Washer circuit. *Job #5672.
Work
Fees: Valuation
Issued By:
$100.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/03/2003
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
215 ('.:hurt'ti Ay.
t'.U. ~ox t130
O~hko~h, W~ ~4903-11'J0
...... F.'~x
ELECTRICAL PERMIT APPLICATION
information a~tur bold
Ir~¢:om~l¢:t¢~ apr.,lications will not be proceuuc, d.
JOB ADDRESS 512EVANSST. /~
OWNE~ STRUENSEE PROPERTIES
DATE 01/27/03
JOB NO. 5672
CONTRACTOR CUMING.S ELECTRIC lNG.
CHECK ALL APPLICABLE
USE C.~TEGORY; SINGLE I~AMTLY~ DUPLW. X~ MUL'I'I-F/i~I£L¥~ RENTAL~
CCMMERCIAL~ TNDUSTRIAL~
SERVICE: NEW ~ CHANGE ~ TEMPORARY
TYP~: OVERHEAD ~ UNDERGROUND
~ER OF FIXTURES ..,WITCHL., i~ECEPTACLES . CIRCUITS
~S _ VOLTS /
CHECK ALL APPLICABLE
RAN(;I.; []
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER ~
FAN C)R BLOWER []
MOTORS []
GARBAGE DI.%POSAL
FURNA.E
CAS PUMPS
DESCRIPTION OF ALL WOI~.K I~ING DONE WASHER CIRCUIT
DRYER []
A/c []
OTHER
VALUE (Including labor and all mate=ials including light fixtures) $100.00
[~A~TER ELECTRICiA~I RICHARD J WENZEL
.~;ubmlt paymen~ with aDp!ication. Failure to Day within 30 days w41
fees being doublcd or $100.00 plus t~le normal pcrm~t fee, which cw:r'
OR
I'd