HomeMy WebLinkAbout0100181-Electric (remodel kitchen)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
821 N SAWYER ST
CUMINGS ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner IMMANUEL LUTH CHURCH
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 1
No 100181
Create Date 03/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher & Fan or Blower
Use/Nature of SFR/Remodel. *Job #5822.
Work
Fees: Valuation
Issued By:
$890.00
Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 03/12/2003
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
A'I1 infornt~lL~on aftor b~,)),~t (':,3teqoriu~ m~l.~t bo provid~-:d.
Incompl~::l.o npplicatio~u~ wi 11 not be proc. ensod.
DATE March 12.200--2
JOB ADDRE ...... 821 Sawyer Stree_t
Jo~ ~o. 5822
OWNER David Lemieux
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY~ DUPLEX~ NULTI-FAMILY~ RW. NTAL~
COMMERCiAL[~ INDUSTRIAL[~
SERVICE: NKW [] CHANGE [] TEMPORARY [] NOT APPLICABLE ~
TYPE: OW".RHEAD [] UNDERGROUND [] NOT APPLICABLE
NUMI~ER OF FIXTtJHES X_. SWITCHES X RECEPTACLES X CIRCUTTS __X
AMPS VOLTs / PHASE _
CNECKALL APP~IC~LE
RANGE [] WATEI{ HEATER ~]
DISHWASHER [] FAN ()R BLOWER []
ELECT]{IC SIGN [] MOTORS []
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS ~
DESCRIPTION OF ALL WORK BI~ZNG DONE Remodel
DRYEI~ []
^/c []
OTHER
VALUE (Including labor and all materials including light fixtures)
MASTER ~-LECTRICIAN RICHARD J WENZEL
Submit payment, with application. F~ilure to pay w~thin 30 days wi].l r'esult
fees being doub].ed or $100.00 plus the normal permit fee, which ¢:ver is greater.
OR
~.l, 0()-07!'J0-2[~'1!~-00000