HomeMy WebLinkAbout0100273-Electric (wire family room)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
960 ALPINE CT
CUMINGS ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GARY L/PAMELA J HENKEL
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 1
No 100273
Create Date 02/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ Wiring family room addition. *Job #5840.
Work
Fees: Valuation
Issued By:
$700.00 Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 03/19/2003
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
Map 18 03 01:01p CEI 920 ?22 0?69 p.1
ELECTRICAL PERMIT APPLICATION
All irtform,~tion aftt'~r bold c:atc:gorien must De provided.
Incomplete applications will not bc processed.
JOB ADDRESS 960ALPINE.
OWNER ? G B I PROPERTIES
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 03/18/03
,~ou NO. 5840
CHECK A/,L APPLICABLE
USE CATEGORY: SINGLE FAMILY[]
COMMERCIALC]
TYPE:
NUI4~ER OF
AMPS
L')UP LEXr'q MULT I-FAMILYr~ RENTAL~
INDUSTRIAL~
NEW ~ CHANGE ~ TEMPO~RY ~ NOT APPLICABLE ~
OVERHEAD ~ UNDERGROUND ~ NOT APPLICABLE
FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
VOLTS / P~
CHECK ALL APPLXCAI~LE
RANGE ~
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER []
MOTORS ~
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS ~
DESCRIPTION OF ALL WORK BEING DONE ..WIRING ADDITION
DRYER []
Ill
OTHI".R
I~UE (IncLuding 'tabo.-* and all materials inclu~ng ligh~ fixtures) $700.00
~TER ELECTRICX~ RICHAR~J_~ENZEL
Submit payment with application. Failure tO pay within 30 days will resul~ in
fees being doubled or $100.00 plus the normal permit ~ee, w~ich ever is greater.
OR
~ 100-0750-25] 5-00000