HomeMy WebLinkAbout0099978 EOSHKOSH
ON THE WATER
.lob Address 4414 JACKTAR RD
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ANCHORAGE HOMES INC
Category 631 - Residential-New Multi-FamilyWiring
Amps 400
~) Temp
Type I~ Overhead
Circuits 1
Switches 1
No 99978
Create Date 02/13/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, furnace & A/C.
Use/Nature of MULTI-FAMILY/Wiring & temp service for new 4 Unit. *Job #5782.
Work
Fees: Valuation
Issued By:
$8,000.00 Plan Approval $0.00 Permit Fee Paid
$150.00
Date 02/27/2003
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
Division of Inspection Serv~.ces
215 Church Avenue
P.O, BOM 1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICA/L PERMIT APPLICATION
All information after bold categories must be provided.
IncOmplete applications will not be processed.
JOB ADDRESS 4414JACKTAR
OWNER ANCHORAGE REALTY
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 02/26/03
JOB NO. 5782
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE F~ILY[
COMMERCIAL[]'-]
SERVICE:
TYPE:
~ER OF
AMPS 400
DUPLEXE~ MULTI-F~ILY[] REMTALE~
INDUSTRIAL[~
NEW [] CHANGE [] TEMPORARY [] NOT APPLICABLE []
OVERHEAD [] UNDERGROUND [] NOT APPLICABLE []
FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
VOLTS 120/240 PHASE ~
CHECK ALL APPLICABLE
RANGE []
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER []
MOTORS []
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS []
DESCRIPTION OF ALL WOP. K BEING DONE NEW4 UNIT
DRYER []
A/C []
OTHER
VALUE (Including labor and all materials including light fixtures) $8000.00
PEP. MIT FEE:
MASTER ELECTRICIA/~ R~CHARD J WENZS[
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $!00.00 plus the normal permit fee, which ever is greater.
OR
Check here if y'ou want this processed throuqh your account []
~ ].00-0750-2515-00000