HomeMy WebLinkAbout0091532-Electric
o
OSHKOSH
ON THE WATER
Job Address 1825 HICKORY LN
.~.....'i ,
r CITY OF OSHKOSH
No 91532
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
. New
o Change
Owner JAMES MITCHELL Create Date 11/05/2001
Category 611 - Residential-New Single Family Wirin Plan
o Temp Type o Overhead . Underground _____J
Circuits Fixtures
Switches Receptacles
Contractor CUMINGS ELECTRIC
Volts 120/240
Amps 200
Appliances Range, Water heater, Garbage disposal, Dryer, Dishwasher, Fan or blower, Furnace, AlC
Use/Nature of NSFR* Job #4197
Work
$3,500.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Fees: Valuation
Issued By: ~
Date 11/28/2001
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
LORI MITCHELL
Agent/Owner
Oshkosh
WI 54901 - 0
Telephone Number
Nov 28 01 07:12a
CEl
920 722 0769
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Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
taX (920) 236-5084
Phone (920) 236-'::'046
ELECT-RICAL . PERMIT: APPLICATION
All information after bold categories must be provided.
IncompLete applications ,-till not be processed.
DATE 11/28/01
JOB ADDRESS 1825 HICKORY LN.
QWNF.;R JIM MITCHELl
GONTRlIC.TDRCt..t:MtNGS ELECTRIC INC.
JOB NO. 4197
CHE~K ALL APPLICABLE
USE.CATE.GORY~
SINGLE. E'AMlhV@
COMMERCIALD
DUPLEX[] ~ULTL~~~ILY[]
INDUSTRIALO
RENTALD
SERVICE: NEW ~ CHANGE 0
TEMFORARY D. N9T APPLICABLE 0
TYPE;
OVERHEAD 0
UNDERGROUND ~
NOT APPLICABLE 0
NUMBER OF FIXTURES ~ SNITCHES ~ RECBPTACLES ~ CIRCUITS ~
AMPS 200
VOLTS 120l24O
PHASE 1
CHECK ALL APPLICABLE
RANGE [g}
WATER HEATER ~
GARBAGR DLSEOSAh ~
DRYER [:gl
AIC I2J
DISHWASHER IZI
ELECTRIC SIGN 0
FAN OR BLOWER 0 FURNACE IZI
fifO-TORS 0 GAS PUMESC!
OTHER
DESCRIPTION OF ALL WORK BEING DONE NEW HOUSE
VALUE {Including labor and all materials including light fixtures} $3,500.00
PEBM'I'l' FEE.:
MASTER ELECTRICIAN RICHARD J WENZEL
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $10'0. GO p1.us- the normal permi.t fee, which ~ver is greater.
OR
Check here if you want this processed tnrouqb, your account ~
*100-0750-2515-00000
Electric"Permi't Work Card
Job Address 1825 HICKORY LN Pennit Number 91532 Create Date 11/05/2001
Owner JAMES MITCHELL Contractor CUMINGS ELECTRIC
Category 611 - Residential-New Single Family Wirino
Service . New o ChangeO Temp ON/A I Type o Overhead . Underground ON/A I
Volts 120/240 Circuits 1 Fixtures 1
Amps 200 Switches 1 Receptacles 1
Fee $90.00 0 Value $3,500.00
Appliances Range, Water heater, Garbage disposal, Dryer, Dishwasher, Fan or blower, Furnace, AlC
Use/Nature ~SFR* Job #4197
of Work
Date 1217/01
Type Service
Inspector Jonathan Fischer
~ Approved
Inspections:
12/10/01 called
12/10/01 mailed