HomeMy WebLinkAbout0100320-Electric (remodel)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1416 MENOMINEE DR
CUMINGS ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MR/MRS RUSSELL WILLIAMS
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 1
No 100320
Create Date 03/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/Remodeling. *Job #5849.
Work
Fees: Valuation
Issued By:
$700.00
Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 03/21/2003
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
2 '1 :;, Church
Fax { ?J20 } 236'.50~J4
ELECTRICAL PERMIT APPLICATION
AI.I i,'~£ormat.~or~ a~tc..r b~.~Id ca[eqoria:'~ must_ bO prov~dod.
lncomplo~e aDpli Oat ionn will not be processed.
JOB ADDRESS 1416 MENO. MINEE DR.
OWNE~ CHARLES WILLIAMS
DATE 03/20/03
JOB NO. 5849
CONTRACTOR CUMIN.GS ELECTRIC INC~
CHECK ALL API>LICABLE
USE CAT~GORY:
SERVI~E:
TY~E:
NUMBER OF
AMPS
S I NGLF, FAMI LY~ DUPLEX~ NULTI-FAMILY~ RENTAL[~
COMNERCIAL~ INDUSTRiAL~-~
NEW ~ CHANGE ~ TEMPORARY ~ NOT APPLICABLE ~
OVERHEAD ~ UNDERGROUND ~ NOT APPLICABLE
FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
VOLTS ~ P~SE
CHECK ALL APPLICABL[
RANGE []
DIS HWASHI.~R []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER []
MOTORS []
GARBAGE DISPO.C;AL []
FURNACE []
GAS PUMP.% ~
DESCRIPTION OF ALL WORK BEING DONE REMODELING
DRYER []
A/C []
OTHER
VALUE (Includ/ng labor and all m&terials including light fixtures) $700.00
RICHARD J VVENZEL
Submit paym(:nt with apDllcation. Failure to pay within 30 days will rCSUlL in
fees be(ng doubled or $100.00 plus the normal pnrmiL fee, which ever i.~ qreat(.,.r.
OR
Ch(:r:k hero. i.f you w~:,zit thJ:~ pz-occs::,-~.~d, throuq~, yo,.r.' .~c~:n,nlt []
Jl 100-0'1!~0-25 !(,-00000
I .,:t BgLO EEL ORB I3D v8'l,:/.LO ~:O Oa den