HomeMy WebLinkAbout0100327-Electric (fan)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1691 HUNTERS GLEN DR
CUMINGS ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LAURIE A CZAJAKA
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100327
Create Date 03/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/Wire fan. *Job #5851.
Work
Fees: Valuation
Issued By:
$75.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 03/21/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
ELECTRICAL PERMIT APPLICATION
All information af~e.'~.' bold c<lLecjor.Le::~ mu:s~ be provided.
Incomplet~ applications will not be proc~:~sed.
JOB ADDRESS 1691 HUNTERS GLEN
OWNER ? RADON SPECIALISTS,_DAVID_0ANIEL~
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 03/20/03
JOB NO. 5851
CNECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY~
COMME RC I AL~
SERVICE:
TYPE:
NUMBER OF
AMPS
INDUSTRIAL~
OVERHEAD [] UNDERGROUND [] NOT APPLICABLE []
FIXTURES SWITCHES RECEPTACLES . CIRCUITS .
VOLTS / PHASE
CHECK A~L APPLICABLE
RANGE [] WATER HEATER ~
DISHWASHER [] FAN OR BLOWER []
ELECTRIC SIGN ~ MOTORS []
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS ~
DESCRIPTION OF ALL WORK BEING DONE WtR~ FAN
DRYER []
A/C []
OTHER
VALUE (Including labor and all ma%erial$ including light flxturos) $75.00
t,~,S-i'gR EL~CT~ICXAN RICHARD J W~NZEL
SuDmit pa~ent with application. Failure to pay within 30 days will resu!~ in
fees being doubled or $100.00 plus the normal permit fee, which ever is greater.
OR
Chock h~?ro i~ y~u waz~t this ~.~(t~}{~!h..y(~{.~[..a.~l~?~. ~
~ 00-07b0-251 5-[)0000
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