HomeMy WebLinkAbout0100144-Electric (range outlet)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
223 E PARKWAY AVE
CUMINGS ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOSEPH S L SCOPACASA/JOSEPHINE
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100144
Create Date 03/11/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range
Use/Nature of SFR / repair range outlet.* CEI #5814
Work
Fees: Valuation
Issued By:
$90.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 03/11/2003
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
Ail informn~£on 0ftur bold cat~.gories mu~t bo. provided.
Tncom~lete appl~catior~s w~ll not
JOB ADDRESS 223 E PARKWAY
OWNER ..JOSEPHONE LOSARS
CONTRACTOR CUMINGS ELECTRIC INC,
DATE ~
JOB NO. §814
CHECK ALL APPLICABLE
USE CATEGORY:
SERVICE:
TYPE:
NUMBER OF
AMPS
SINGLE FAMILY~ DUPLEX[~] MULT1-FAM~LY~ RENTAL[~
COMHERCIAL~] INDOSTRIAL[]
NEW [] CHANGE [] TEMPORARY [~ NOT APPLICABLE []
OVERHEAD [] UNDERGROUND [] NOT APPLICASLE []
FIXTURES _ SWITCHES _ RECEPTACLES X CIRCUITS
VOLTS ~/ P~L~E
CHECK ALL APPLICABL~
RANGE []
DI-~;HWASHER [~
EI,ECT[{IC SIGN []
WATER HEATER []
FAN OR BLOWER
MOTORS ~
GARBAGE DISPOSAL
FURNACE ~
(lAS PUMPS []
DESCRIPTION OF ALL WOR~ BEING DONE REPAIR RANG~ OUTLET
DRYER []
[]
OTHER
VALU~ (Including labor and all mater&mis inclucL~ng light fixture~) $90.00
PE~T FE~- .'
~'~%S~EK F. LECTRICIAN RICHARD J WENZEL
Submit payment with application. Failure ~'o pay within 30 days will re:=ult in
fees being doubled or $100.00 p~us the normal permit fee, which ever is greater.
OR
('his proce:::s~d ~hrou~rl; y¢>ur ,'i,.:coi,ut []
00-O750-2~15-{)0000-- ' ....