HomeMy WebLinkAbout0099566-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
605 GOLDEN IRIS DR Owner TIMOTHY/DENISE GUAY
CUMINGS ELECTRIC Category 612 - Residential-Single Family AdditionlR
~) New O Change O Temp I Type (~ Overhead
Circuits 0
Amps 0 Switches 0
No 99566
Create Date 01/08/2003
Plan
Underground
Fixtures 0
Receptacles 0
Appliances --an or Blower
Use/Nature of ~FR/ Finishing off a portion of the basement to include a family room, den and full bathroom.* CEI #5668
Work
Fees: Valuation
Issued By: ~
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
[] Permit Voided J
Date 01/24/2003
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
~n 2~ 03 08:28a C£! 920 ?22 0?69
ELECTRICAL PERMIT APPLICATION
JOB ADDRESS 605 GOLDEN IRIS
OWNER DEWEY JACOBSON
CONTRACTOR CUMINGS ELECTRIC INC.
r)A'rE 01/24103
,l~'m ~o. 5668
CFIIgCK ALL APPLICABLE
USE CATEGORY: SINGLE FAM t LY[] DUPLEX[~ MULTI-FAMiLY[~ RF. NTAL~
COMMERCIAL[~ l NDUSTRIAL[~
SERVICE: NEW [] CHAN(;E ~ TEMPORARY [] NOT APPLICAI%T,M ~
TYPB: OVERHZAD ~ UNDERGROUND ~ NOT APPLICABLE
~ER OF FIXTURE~,; ~ SWITCHES ~ RECEPTACLES ~ (iIRCUTTS ~
~S VOLTS / P~E _
CHECK ALL APPLICABLE
Dl ,%HWAS~ER []
I:;LI:;CTRIC SIGN []
WATER HEATER []
FAN OR BLOWER []
MOTORS []
GARBAGE DISPO.UAT, []
FURNACE []
GAS PUMPS []
DESCRIPTION OF ALL WORK BEING DONE LOWER LEVEL
DRYER []
OTHEI(
VALUE (Inclucl~ng labo~ and all materials including light £ixturos) $500.00
PERMIT FEE:
RICHARD J WENZEL
Submit paymen[ wiLh appl .i cation. F~ilure to pay wil. hin 30 c]n¥$ will rc.~;ult'. in
fees being douDied or $100.00 plus the normal permit lee, which ¢:ver is (froo[,/,r.
OR
~1' l()O-()'/bo-2!~, 15-00000