HomeMy WebLinkAbout0099716 EOSHKOSH
ON THE WATER
JobAddress 1390 JUDY LEE
Contractor CUMINGS ELECTRIC
Service ~) New C) Change
Volts 120/240
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
0 Temp
Owner
Category
Circuits
Switches
THOMAS N RUSCH
611 - Residential-New Single Family Widn
Type O Overhead
1
1
No 99716
Create Date 01/22/2003
Plan
C) Underground
Fixtures
Receptacles
Appliances ~,ange, Dishwasher, Water Heater, Garbage Disposal, Dryer, Fan or Blower, A/C & Furnace.
Use/Nature of NSFPJ Wire new home. *Job #5709.
Work
Fees: Valuation $3,500.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $90.00
Date 02/06/2003
[] Permit Voided ]
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
ELECTRICOkL PERMIT APPT.ICATION
All iniormation aiter bold ,~at4:qories mu.~t be prov.~¢%cd.
Incom[~le~e aDlJlicuticns will not b~*: ~)rocenned.
JOn ADDRF,$.S 1390JUDY LEE
O~R CRAIG MEETT, HEARTLAND HOMES
CONTRACTOR CUMINGS ELECTRIC INC,
DaTE 02/04/03
,JOB NO. 5709
C~ECKALL APPLICABLE
US~ CA~GORX; SINGLE FAMILY~ DUPLEXD-] MULTI-FAMILY~ RENTAL~
COMM~RC~AL~ INDUSTRZAL~
SERVICE: NEW [] CHANGE [~ TZM?ORARY [] NOT APPLICABLE []
T¥}{: OVERHEAD [] UNDERGROUND [] NOT APPLICABLE []
NUMBER OF FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
/m/~PS 200 VOLTS 120/240 PKaSE I
CHECK ALL APPLICABLE
DT~3HWAS]IER [] FAN OR BLOWER [] FURNACE [] A/C []
ELECTRIC SIGN [] MOTORS [] GAS PUMPS ~ OTIIER
DESCRIPTION OF 2bzLL WORK BEING DONE NEW HOUSE
(Including labor and all materials including lxght fixtures) $3~00.00
FEE:
MASTER ELECTRZCIAN RIC, HARDJ__VVENZEL
SuDmlt payment wi~h application. Failure to pay within 30 doy$ will result in
being doubled or $100.00 plus the normal pe£mit fee, which ever is 0rearer.
OR
~ ~ 00- 07,:,0-2,:, 1-: -0000.
8960 2~Z. 0~8 I]D dSO:BO £0 t,O qa_-I