HomeMy WebLinkAbout0100710-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1721 WHITE SWAN DR
CUMINGS ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MR/MRS GUNTHER FLEINER
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 1
No 100710
Create Date 04/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or blower.
Use/Nature of SFR/ Remodeling bathroom to include combining 2 existing baths into one. *Job #5915.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid
$45.00
Date 04/09/2003
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
~ivi~on o~ Tn~pectJ, on
RI§ Church ~venue
P.O. BOX 1130
O~hkosh, WI 54909-,i130
FdX (9~0) 236-50h4
Phone (9~0) 236-5046
ELECTRICAL PE~IT APPLICATION
AIl. £nformation a~t~:~ bold
Inc. omplete application::; will ~c.~t. bc p(.ocesse~d.
DATE 04/08103
JOB ADDRESS 1721 WHITE,SWANDR
OWNER MYLES STRASSER - MATHWIG CONSTRUCTION
JOB NO. 5915
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK A~L APPLICABLE
USE C~%TEGORY: SINGLE FAMILY~
COMMERC IAL~
SERVI CE:
TY~:
NOM~ER OF
AMPS
DUPLEX~ MULTI-FAMILY~ RENTAL~
INDUSTRIAL~
NEW ~ CHANGE [] TEMPORARY [] NOT APPLICABLE []
OVERHEAD ~ UNDERGROUND [] NOTAPPLICABLE
FIXTUKES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS
VOLTS /__ PHASE _
RANGE ~ WATER HEATER ~
DISHWASHER ~ FAN OR BLOWER
ELECTRIC SIGN ~ MOTORS ~
GARBAGE DISPOSAL~
FURNACE
GAS PUMPS []
DESCRIPTION OF ALL WORK BEXNG DONE BATHROOM REMODELING
DRYER []
[]
OTHER
VAL~ (Includ~n~ labor and all materials including light fixtures) $1000.00
PERMi"r ~E ~
~TER ELECTRICI~ RICHARO J WENZEL
Submit p0yment with application. Failure to pay within 30 days will result in
fec~ being doubled or $100.00 plus the normal permit fee, which ever is greatcr.
OR
~100-0750-251 h-OOOt]O
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