HomeMy WebLinkAbout0097999-Electric0 CITY OF OSHKOSH No 97999
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1941 BEECH ST Owner JEFFREY J JACOBSON Create Date 10/15/2002
Contractor CUMINGS ELECTRIC Category 611 - Residential -New Single Family Wirin Plan
Service Change O Temp Type (D Overhead O Underground
Volts 120/240 Circuits 1 Fixtures 1
Amps 200 Switches 1 Receptacles 1
Appliances IRange, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace, A/C
Use /Nature of NSFW Job
Work
Fees: Valuatio
Issued By:
IL
$3,1500.00 Plan Approval $0.00 Permit Fee Paid $90.00
❑ 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
Date 10/15/2002
Telephone Number 231 -5946
Oct 14 02 12120p CEI
920 722 0769 p.l
ELECTRICAL PERMIT APPLICATION
Al I ; tl,frlrtn,,l .j p1l .I [I iu, I,()).fl col earlf{t:ikt:. ltil•I: I hot 1,xov,i.11t.•fl.
I n-x)rttl)l e .:r ;apT?1i c:)ttour, wi 11 riot h pr01-c:.rie 1d.
DATF 10/14/02
IJOB ADDRF:SS 1941 BEECH ST JOB NO. 5412
OWNER DEWEY JACOBSON
CONTRACTOR CUMINGS ELECTRIC INC
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY® DUPLEX[] MULTI- t- AMILY❑ RENTAI.,❑
COMMERCIAL❑ INUtJ:-;TIIALF-1
SERVICE: NE.W FA C11ANCE ❑ TI-,MPORARY NOT APPT.TCABLE F1
TYPE: OVEJUIT,An 0 1JNr)T;RC;RQt.JNn NOT APPLICABLE
NUMBER OF 7TXTURE.3 X '.3WTT('1T1 , X RECEPTACLES X CIRCUIT",; X
AMPS 200 VOLTS 120/240 PHASE 1
CHECK ALL APPLICABLE
RANC;r ® WATER HEATER ® GARBAGE DISPOSAL ® i)RYER
D1'i;Hwnf;HER ® T'AN OP BLOWER ® FURNACE ® A/C
ELECTRIC SIGN MOTOR°• D GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE N,E,W HOUSE
VALUE (Including labor and al]. materials including light fixtures) $3.500.00
rr"XT Fm:
MASTER ELECTRICIAN RICHARD J WENZEL
OUbmit Ix.1y1110nt. with appl i ral.ion _ r.iilure tO p ty wiLfiin 30 clrlys; will rr-�,u l t in
fr�<!^ hoing doublOd Or $100.00 plu: tho normal perm .lt rcr, Which ever is 9L,ertiLvr.
KV
Chock hi to t volt wntr. t_hJ'c Jfl {r.f :•:cc.t. tnrou�rr? Y�,1.rly,af�c- l;r)rlr.
II 100- 0'1:)0 -::.;1 5- 000f)0
1,1 V "Is .,t .r 1 ..... . ^,1-I�V; I:f•>:
02
czoq;�
u:hlu, ^h, wl "1701 1110
F, Ix 11U ii-YM4
920 722 0769 p.l
ELECTRICAL PERMIT APPLICATION
Al I ; tl,frlrtn,,l .j p1l .I [I iu, I,()).fl col earlf{t:ikt:. ltil•I: I hot 1,xov,i.11t.•fl.
I n-x)rttl)l e .:r ;apT?1i c:)ttour, wi 11 riot h pr01-c:.rie 1d.
DATF 10/14/02
IJOB ADDRF:SS 1941 BEECH ST JOB NO. 5412
OWNER DEWEY JACOBSON
CONTRACTOR CUMINGS ELECTRIC INC
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY® DUPLEX[] MULTI- t- AMILY❑ RENTAI.,❑
COMMERCIAL❑ INUtJ:-;TIIALF-1
SERVICE: NE.W FA C11ANCE ❑ TI-,MPORARY NOT APPT.TCABLE F1
TYPE: OVEJUIT,An 0 1JNr)T;RC;RQt.JNn NOT APPLICABLE
NUMBER OF 7TXTURE.3 X '.3WTT('1T1 , X RECEPTACLES X CIRCUIT",; X
AMPS 200 VOLTS 120/240 PHASE 1
CHECK ALL APPLICABLE
RANC;r ® WATER HEATER ® GARBAGE DISPOSAL ® i)RYER
D1'i;Hwnf;HER ® T'AN OP BLOWER ® FURNACE ® A/C
ELECTRIC SIGN MOTOR°• D GAS PUMPS ❑ OTHER
DESCRIPTION OF ALL WORK BEING DONE N,E,W HOUSE
VALUE (Including labor and al]. materials including light fixtures) $3.500.00
rr"XT Fm:
MASTER ELECTRICIAN RICHARD J WENZEL
OUbmit Ix.1y1110nt. with appl i ral.ion _ r.iilure tO p ty wiLfiin 30 clrlys; will rr-�,u l t in
fr�<!^ hoing doublOd Or $100.00 plu: tho normal perm .lt rcr, Which ever is 9L,ertiLvr.
KV
Chock hi to t volt wntr. t_hJ'c Jfl {r.f :•:cc.t. tnrou�rr? Y�,1.rly,af�c- l;r)rlr.
II 100- 0'1:)0 -::.;1 5- 000f)0