HomeMy WebLinkAbout0093624-Electric
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OSHKOSH
ON THE WATER
Job Address 1835 HICKORY LN
CIT:V OFDSHKOSH
No 93624
ELECTRIC PERMIT - APPLlCATIO~ AND RECORD
Owner
JERRY H DOEMEL
Create Date 04/01/2002
Contractor
CUMINGS ELECTRIC
Category 611 - Residential-New Single Family Wirin Plan
Service
b New
o Change
o Temp
Circuits
Type 0 Overhead
o
o Underground
Volts 120/240
Fixtures
o
Amps 200
Switches
o
Receptacles
o
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace, AlC
Use/Nature of NSFR * CEI #4612
Work
Fees: Valuation
$3,500.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Issued By:
Date 04/15/2002
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
PO BOX 749 1414 COUNTY RD JJ
Agent/Owner
NEENAH
WI 54957 - 749
Telephone Number 231-5946 (Dick) 585-501
Apr 15 02 01:l6p
eEl
920 722 0769
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Division of Inspection Services
215 Ch~rch Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
PaY. (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 04/15/02
JOB ADDRESS 1835 HICKORY LANE
OWNER MIKE DAVIS
CONTRACTOR CUMINGS ELECTRIC INC.
JOB NO. 4612
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY~ DUPLEX[] MULTI-FAMILY[J RENTAL[]
COMMERCIAL[J INDUSTRIAL[]
SERVICE: NEW [8J CHANGE [] TEMPORARY [] NOT APPLICABLE []
TYPE: OVERHEAD [] UNDERGROUND ~ NOT APPLICABLE []
NUMBER OF FIXTURES ~ SWITCHES X RECEPTACLES X CIRCUITS X
AMPS 200
VOLTS 120/240
PHASE 1
CHECK ALL APPLICABLE
RANGE ~ WATER HEATER ~ GARBAGE DISPOSAL ~
DISHWASHER ~ FAN OR BLOWER ~ FURNACE ~
ELECTRIC SIGN [J MOTORS [] GAS PUMPS []
DRYER ~
AIC ~
OTHER
DESCRIPTION OF ALL WORK BEING DONE NEW HOUSE
VALUE (Including labor and all materials including light fixtures) $3.500.00
PERMIT 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 want this processed through your account ~
#100-0750-2515-00000