HomeMy WebLinkAbout0100143 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
137 W 22ND AVE
CUMINGS ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SANDRA J BASEL
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100143
Create Date 03/11/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Kitchen repairs - water damage.* CEI #5773
Work
Fees: Valuation
Issued By:
$450.00 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
~ J'la~ ~0 03 09: ~2a CEI 920 ?22 0'769
I'.O. ~ox 1130
c)~hkn~h, WI ',4903-I130
Fax (920) 23~.-5084
Phon~ (<}20) 2
ELECTRICAL PERMIT APPLICATION
All iniorm,~tion aft'er bold ¢'~at:(.~gorten must bo p~..ovicic, d.
T~c(~p.].~'t.~:; ~U.~[.,~icationn w~.l.l nor.. b~.~ proc~u~cd.
JOB ADDRESS 137 W 22ND AVE.
OWNER SANDY BASEL
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 03/10/03
JOB NO. 5773
CH~CK ALL APPLIC/%BLE
US~ CAT]~GORY: SINGLE FAMILY~ DUPLEX~ MULTI-FAMiLY~ RENTAL~
SERVICK; NEW [] C{IANGE [~ TEMPORARY [] NOT APPLICABLE []
TYPE; OVERHEAD [] UNDERGROUND []
NOT APPLICABLE []
~K~ER OF FIXTURF~S X SWITCHES
RECEPTACLES X CIRCUITS
;%MPS VOLTS / P~ASE
CHECKALL APPLIC2tBLE
RANGE []
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER []
MOTORS []
GARBAGE DISPOSAL
FURNACE []
GAS PUMPS ~
^lc []
OTHER
DESCRIPTION OF ALL WORK BEING DONE KITCHEN REPAIRS- WATER DAMAGE
VALLFE (Including labor and all mat~rinls including light fixtu=es) $450.00
~$~R ELECTRIC~ RICHARD J WENZEL
Submit paymenL wiLh application. Failure ~o pay within 30 doys will resL~l~ i~
fees b~ing <loinS)led or $100.00 plus the normol pormit fee, which (:~ver is grenter.
OR
Cl'~,'~:'k b,?r'O q~...3?J' .~an.q...~.~roc~s~d ~h,',',,,,j~ your
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