HomeMy WebLinkAbout0093260-Electric
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OSHKOSH
ON THE WATER
Job Address 1853 HUBBARD ST
CITY OF OSHKOSH
No 93260
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
EDWARD JUNGWIRTH
Create Date 03/05/2002
Contractor
CUMINGS ELECTRIC
Category 611 - Residential-New Single Family Wirin Plan
Service b New
Volts 120/240
o Change
o Temp
Type 0 Overhead
o Underground
Circuits
Fixtures
Amps
100
Switches
Receptacles
Appliances
~ange, water heater, Grabage disposal, Dryer, Dishwasher, Fan or Blower, Furnace & AlC.
Use/Nature of NSFRI New home wiring. .Job #4560
Work
Fees: Valuation
Issued By: V"W'\
$3,000.00
Plan Approval
$0.00
Permit Fee Paid
$75.00
Date 03/27/2002
o Permit Voided 1
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
PO BOX 749 1414 COUNTY RD JJ
Agent/Owner
NEENAH
WI 54957 - 749
Telephone Number 231-5946 (Dick) 585-501
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Division of rnspec-tion Services
215 Church Avenue
P.O. Box 1130
Oshkosh. WI 54903-1130
Fax 19201 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
JOB ADDRESS 1853 HUBBARD
OWNER DEL TRITT
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 03/27/02
JOB NO. 4560
CHECK AL~ APPLICABLE
USE CATEGORY~ SINGLE F~lILY~
COMMERCIAL[J
SERVICE: NEW ~ CHANGE []
DUPLEX[] MULTI-FAMILY[]
INDUSTRIAL[]
RENTAL[]
TYPE:
OVERHEAD []
TEMPORARY [] NOT APPLICABLE []
UNDERGROUND ~ NOT APPLICABLE []
NUMBER OF FIXTURES X SWITCHES X RECEPTACLES ~ CIRCUITS X
AMPS 100
VOLTS 120/240
PHASE 1
CHECK ALL APPLICABLE
RANGE ~ WATER HEATER ~ GARBAGE DISPOSAL ~
DISHWASHER ~ FAN OR BLOWER ~ FURNACE ~
ELECTRIC SIGN [] MOTORS [J GAS PUMPS []
DRYER [8J
AIC f8l
OTHER
DESCRIPTION OF ALL WORK BEING DONE NEW HOUSE
VALUE (Including labor and all materials including light fixtures) $3,000.00
PERM!T FEE:
MASTER ELECTRICIAN RICHARD J WENZEL
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is greater.
OR
Check here if you ...Iant this processed through your account 181
#100-0750-2515-00000
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691.0 221. 026
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