HomeMy WebLinkAbout2003-Electric (interior remodel)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2950 RUSCHFIELD DR
CUMINGS ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BRUCE C/JONI R BAUM
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 1
No 100325
Create Date 03/10/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Remodel kitchen and living room. *Job #5836.
Work
Fees: Valuation
Issued By:
$600.00 Plan Approval
$0.00 Permit Fee Paid
$25.00
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
Diviuiun Ot ?n(;D¢:ction :;ervices
215 Cliki['Cil Avenue
f',O. Box 1130
O~hko~h, WI 54901{-11~Q
Fa~ (920) 236-5004
L'hone (920) 236-5040
ELECTRICAL PERMIT APPLICATION
information after bold categories must be ~rovidcd.
iz%~:o~tplete app] icat/onn w% l ] not be: proc~:ms(:d.
,]rOB ADDRESS 2950RUSCHFIELD
OWNER BRUCE BOLM
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 03/17/03
JOS ~o. 5836
CHECK 3%%J~ APPLICABLE
USE CATEGORY: SINGLE YAMILY~ DUPLE×[~ MULTI-FAMILY~ RENTAL~
COMMERCIAL~ INDUSTRIAL~
SERVICE: NEW [~ CHANGE ~ TEMPORARY [] NOT APPLICABLE []
T~E: OVERHEAD [] UNDERG~OUND [] NOT APPLICABLE
~ER OF FIXTURES _ };WITCHES ~ RECEPTACLES; ~ CIRCUITS
~PS VOLTS / P~SE
CHECK ALL APPLIC2%BLE
DISHWASHER ~ FAN OR BLOWER []
ET.ECTRIC SIGN [~ MOTORS []
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS []
DRYER []
^lC []
OT l,l E R
DESCRIPTION OF ALL WORK BEING DONE REMODEL KITCHEN/LIVING ROOM
VAL~ (Including labor and all materials including light fixtures) $~00.00
~ERMIT FEE:
MASTER ELECTRICIAN RICHARD d WENZEL
Submit payment with application. Failure to pay within 30 days will result in
~ees being doubled or $100.00 plu~; the normal permit fee, which cver is greater.
OR
~ ~ ()0-(Y1 .)0-2515-00000