HomeMy WebLinkAbout0099852-Electric (water heater)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
255 W 35TH AVE
CUMINGS ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JACK GOODALE
Category 653 - Industrial-Addition/Remodels
Type I~ Overhead
Circuits 1
Switches 0
No 99852
Create Date 02/17/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Water Heater
Use/Nature of IND/Wire water heater. *Job #5743.
Work
Fees: Valuation
Issued By:
$250.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/17/2003
Permit Voided
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
ELECTRICAL PERMIT APPLICATION
All information after
Tnc:omplete appllcationn w.i. ll not b,~ procc:'m,.~d.
JOB ADDRESS 255 W 35TH AVE.
OWNER BASLF:R TURBO
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 02/17/03
con No. 5743
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY~ DUPLEX~] MULY£-TAMILY~ RENTAL~
COMMERCIAL~] INDUSTRIAL~
SERVICE: NEW ~ CHANGE [] TEMPORARY [] NOT A~PLICABLE []
TYPE: OVERHEAD [] UNDERGROUND [] NOT APPLICABLE []
N--O1~IBER OF FIXTURES SWITCHES RECEPTACLE~
/~.MPS VOLTS / PHASE .
_ CIRCUITS X
CHECK ALL APPLICABLE
RANGE []
DISHWASHER []
ELECTRIC ~;IGN []
WATER HEATER []
FAN OR BLOWER []
MOTORS ~
GARBAGE DISPOSAL []
FURNACE []
(;AS PUMPS []
DESCRIi~TiON OF ALL WOIIK BEING DONE WATER HEATER
DRYER []
A/C []
OTHER
VALUE (Including labor and all materials including %~ght fZxtur~s) $250.00
PEP~MIT FEE;
MASTER ELECTRICIA/~ RICHARD J WENZEL
Submit payment with application. Failure to pay within 30 day:; will re:;ult in
Le<:.~; bei. n¢~ doubloa or $100.00 ph,.~; the normal pez'mit ~ee, whicti aver is greoter.
OR
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