HomeMy WebLinkAbout0091188-Electric (misc.)
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OSHKOSH
ON THE WATER
Job Address 2332 HICKORY LN
CITY OF OSHKOSH
No91188
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
PAUL / JANET CARSTENS
Create Date 11/08/2001
Contractor
CUMINGS ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
p New
o Change
o Temp
Type 0 Overhead
o Underground
Volts
Circuits
Fixtures
Amps
Switches
Receptacles
Appliances Fan/Blower
Use/Nature of SFR/ Repair & replace light recps, ceiling fans and add sub panel. * Job #4133
Work
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By: J<: W\
Date 11/08/2001
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
PO BOX 749 1414 COUNTY RD JJ
NEENAH
WI 54957 - 749
Telephone Number 231-5946 (Dick) 585-501
Nov 08 01 07:59a
eEl
920 722 0769
p. 1
-"
~
OfI-KOfH
ON THE W.AT~~
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
~aK (920) 236-5084
Phone (920) 236-5046
ELECTRICAL, PERMIT APPLI,CATION
All information after bold categories must be provided.
Incomplete..appli.cat.ions. will not be processed.
DATE 11/07/01
JOB ADDRESS 2332 HICKORY LN.
OWNER PAUL CARSTENS.
CONTRACTOR CUMINGS ELECTRIC INC.
JOB NO. 4133
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FA..1I1ILYtg] DUPLEXD MULTI-F~ILYD RENTALD
COMMERCIAL[] INDUSTRIALD
SERVICE: NEW 0 CHANGE 0 TEMPORARY 0 N.OT APPLICABLE 0
.~\,
TYPE: .oVERHEAD 0 UNDERGR.oUND [J NOT APPLICABLE [J
NUMBER OF FIXTURES X SWITCHES X RECEPTACLE$ X CIRCUITS X
AMPS
VOLTS .L
PHASE
CHECK ALL APPLICABLE
RANGE [] WATER HEATER [] GARBAGE DISPOSAL []
DISHWASHER [] FAN .oR BLOWER ~ FURNACE []
ELECTRIC SIGN 0 MOT.oRS [] GAS PUMPS []
DESCRIPTION OF ALL WORK BEING-DONE- R-EPAIR & REPLACE, UTES RECEPTACLES. CEILING FANS
AND ADD SUB PANEL
DRYER []
AIC []
OTHER
VALUE (Inc~uding ~abor anda~~ materials including- light fixtures) $500.00
PERMIT FEE: 't-:',l(;'
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 throHgb your account ~
*100-0750-2515-00000