HomeMy WebLinkAbout0100568 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1233 OTTER AVE
CUMINGS ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DAVID J/BARBARA VANDAM
Category 623 - ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 1
Switches 1
No 100568
Create Date 04/02/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower.
Use/Nature of 31 Rosalia/ DUPLEX/ Bath remodel and kitchen outlets. *Job #5888.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 04/02/2003
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
1130
(t)20 ] 236-5084
ELECTRICAL PERMIT APPLICATION
All. information afte£ bold ¢:,:~egor. i. es mu:~t, be. provided.
Incomplete applications will not be processed.
,)'OB ADDRESS 131 ROSALIAST
OWNER DUTCHMAN CONST.
CONTRACTOR CUMINGS ELECTRIC .INC.
DATE 04/02/03
JOB NO. 5888
CHECK A~L ADPLICA~LE
USE CATEGORY: SINGLE FAMILY~ DUPLEX~ MULTI-FAMILY~ RENTAL~
COMMERCIAL~ INDUSTRIAL~
SERVICE: NEW ~ CHANGE ~ TEMPORARY ~ NOT APPLICABLE ~
~E: OVERHEAD ~ UNDERGROUND ~ NOT APPLIC~LE ~
~ER OF FIXTURES ~ SWITCHES ~ REC~,:PTACLES ~ C~RCUITS ~
~Ps _ VOLTS ~ P~SE .
CHECK ALLAPPLICABLE
RANGE []
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER []
MOTORS [~
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS [~
DRYER []
A/c []
OTHER
DESCRIPTION OF ALL 'WOI~K SEING DONE BATH REMODEL & KITCHEN OUTLETS
%~UE (Including labor and a~l materials £ncl~d£ng ligh% fixture~) 5300,00
~a ELECTRICI~ RICHARD J WENZEL
Submit. pa~ent with application. Failurc to pay within 30 days will result in
~ees bcing doubled ot $100.00 Dlus the normal permit fee, which ever iz greater.
OR
~] 00-O'/bO-2 bl'.,-O0000