HomeMy WebLinkAbout0092754-Electric
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OSHKOSH
ON THE WATER
Job Address 2355 HICKORY CT
CITY OF OSHKOSH
No 92754
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GERALD LENNOP Create Date 02/11/2002
Category 612 - Residential-Single Family Addition/R Plan
Contractor CUMINGS ELECTRIC
Service
p New
o Change
o Temp
Type 0 Overhead
o Underground
Volts 120/240
Circuits
Fixtures
Amps 200
Switches
Receptacles
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace & AlC.
Use/Nature of \lSFRI New home wiring.
Work
Fees: Valuation
Issued By: K W'
$5,800.00
Plan Approval
$0.00
Permit Fee Paid
$120.00
Date 02/21/2002
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules goveming 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
Feb 21 02 10:09a
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CEI
920 722 0769
p. 1
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Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 02/21/02
~:??c?
JOB ADDRESS 2055 Hickory Court
OWNER Decker, Garry
CONTRACTOR CUMINGS ELECTRIC INC.
JOB NO. 4464
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY~ DUPLEX[] MULTI-FAMILY[] RENTAL[]
COMMERCIAL[] INDUSTRIAL[]
SERVICE: NEW I;gj CHANGE [] TEMPORARY [] NOT APPLICABLE []
TYPE: OVERHEAD [] UNDERGROUND ~ NOT APPLICABLE []
NUMBER OF FIXTURES X SWITCHES ~ RECEPTACLES X CIRCUITS X
AMPS 200
VOLTS 120/240
PHASE 1
CHECK ALL APPLICABLE
RANGE ~ WATER HEATER ~ GARBAGE DISPOSAL I;gj
DISHWASHER ~ FAN OR BLOWER ~ FURNACE ~
ELECTRIC SIGN [] MOTORS [] GAS PUMPS []
DRYER IZl
AIC ~
OTHER
DESCRIPTION OF ALL WORK BEING DONE NEW HOUSE
VALUE (Incl-qdin-3 l.abor ~d all materials including light fixtures) $5,800.00
PERMrT FEE; :~ / ~t:). ~7'C/
MASTER ELECTRICIAN RICHARD J WENZEL
Submit payment wi'th 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 want this processed through your account ~
*100-0750-2515-00000
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