HomeMy WebLinkAbout0089773-Electric (bathroom & misc)
G
OSHKOSH
ON THE WATER
Job Address 921 HARNEY AVE
CITY OF OS~iKOSH
No 89773
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DONNA M SHANNON
Create Date 09/28/2001
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 or blower
Use/Nature of RENTAL/Rewire bathroom, misc. repairs' CEI job #3938
Work
Fees: Valuation
$600.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By: r-
Date 09/28/2001
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
PO BOX 749 1414 COUNTY RD JJ
Agent/Owner
NEENAH
Address
WI 54957 - 749
Telephone Number 231-5946 (Dick) 585-501
SEP-28-200l 08:25
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DZtIQ{H
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Division 01 In9pection
215 ChurCh ~venue
0'.0. Box 11:W
Oshkosh, WI 5'1903-1130
JO'ax {nO I 236-!>OB4
~hone (920, 236-!>046
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ELECTRICAL PERMIT iAPPLICATION
information .after bol~ CA-tegqries must be pr.ovtdl2d.
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ncolllp .eT:E'! ilj:JP H.:atlOif1:, Wl. . n,)t be- prr)ee:,:,ed.
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.JOB IADpRESS 921 HARNEY
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OWN~R CHUCK WILLIAMS
CON~RAFTOR CUMINGS ELECTRIC INC.
CHEt' 4.L APPLICABLE
USE 'J'EGORY: SINGLE FAMILY!2J
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SERvjICE: NgW 0 CHANGE 0
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DATE 09/28/01
JOB NO. 3938
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DUPLEXCP MULTI-FAMILY[] RENrAL~
INDUSTIUALO :
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TEMPORl\RYI 0 NOT APPLICABLF, 0
3yp :: OVERHEAD 0
ER.OF FIXTURES ~
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AMP ;
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CHEdK ALL APPLXCABLE
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RANdE []
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UNDERGROUNO![]
NOT APPLICABLE 0
SWITCHES X
REq;P'I'ACLE:S X
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CIRCUITS X
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PHASE
VOI.'1'S
WATER HEATER 0
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qARBAGE: DJSPOSAL []
DRYER 0
DIS~WA$HER 0
ELEJTR~C SIGN (]
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DES4RIP'rION
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VAL*E I(Inc~udin~ labor and all ma~erial~ ~noludi~9 1i9ht fixtures) $600.00
"ERMj Ffl' $ G< 5pp
MAS'fR !ELECT1UCIAN RICHARD J WENZEL I i
sub~it.l payment with application. failhre to Ip<'lY within 30 days will resuit in
tee1 b~ing doubled or $100.00 plus the normal permit fee, which ever is qreater.
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~k loere if you want: this proc$:,sei? tlu.duqh. \,ouil" .Jcco.,unt t8J
#lO~-0750-2515-00000
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FAN OR BLOWER f2J !
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FTJRNACE 0
Ale 0
MOTORS 0
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~AS PUM'I?.s 0
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OTHER
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OF ALL WORK BEING DONE RE~IRE BAliHROOM. MISC. REPAIRS
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