HomeMy WebLinkAbout0096121-Electric 0 CITY OF OSHKOSH No96121
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2852 MONTCLAIR PL Owner HEARTLAND HOMES CONST. Create Date 05/31/2002
Contractor CUMINGS ELECTRIC Category 611 - Residential -New Single Family Wirin Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground J
Volts 120/240 Circuits 1 Fixtures 1
Amps 200 Switches 1 Receptacles 1
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace & NC.
Use /Nature of NSFR/ New home wiring. *Job #5007.
Work
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $90.00
Issued By: K� Date 07/24/2002
El Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number 231 -5946
er)
1visinn of Innpuction SCCV {e.'m
71S Church Avenue
1?. O. Box 1110
r>shko7 0) 54v03-
Fax (920) 234 -SUO�!
Phone (920) 236 -5040
ELECTRICAL PERMIT APPLICATION
All .information after bold categories must be provided.
Ineomp)etn applications will not be prodesse►d.
DATE 07/23/02
JOB ADDRESS 2852 MT_LAIR ,ton NO. 5007
OWNER CRAIG MEETZ
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILYN DUPLEX❑ MULTI - FAMILYE] RENTAL❑
• COMMERCIAL❑ INDUSTRIAL❑
SERVICE: NEW ® CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE ❑
TYPE: OVERHEAD ❑ UNDERGROUND ® NOT APPLICABLE ❑
NUMBER OF FIXTURES X SWITCHES X RECEPTACLES X CIRCUITS X
AMPS 222 VOLTS 120/240 PHASE 1
CHECK ALL APPLICABLE
RANGE ® WATER HEATER N GARBAGE DISPOSAL N DRYER N
DISHWASHER N FAN OR BLOWER N FURNACE N A/C ►r1
ELECTRIC SIGN ❑ MOTORS ❑ GAS PUMPS ❑ OTHEIR
DESCRIPTION OF ALL NOM BEING DONE NEW HOUSE
VALUE (Including labor and all matarials including light fixtures) 0,500.00
PERMMIT FEE:
MASTER ELECTRICIAN RICHARD I LWE NZEL
Submit payment with application. Failure to pay within 30 drays; will result in
fees being doubled or $100.00 plus the normal permit fcc, which over is greater.
OR
Cher'k hero if ,you wane this through your ‘:1t?r N
#100-0750-2:4.5-00000
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