HomeMy WebLinkAbout0100738-Electric (basement remodel)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1590 DEERFIELD DR
CUMINGS ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DOUGLAS A WOLK
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 1
No 100738
Create Date 04/10/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Remodel basement. *Job #5900.
Work
Fees: Valuation
Issued By:
$2,000.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 04/10/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
ELECTRICA/~ PEP/~IT APPLICATION
Ail i. nformation after bold cnte~]ori~s mu3r. be prob,.dud.
Incomplete ~pplications will not be ~roce$~ed.
JOB ADDRESS 1590 D~.ARFIELD
OWNER ? STAN KELLENBFRG CONTRACTOR
CONTRACTOR C__UMI, NGS ELECTRIC INC:
DATE 04110103
JOB No. 5900
CHECK ALL AppLICABLE
USE CATEGORY: SINGLE FAMILY~ DUPLE×~ MULTI-FAMILY~ RENTAL~
COMMERC IAL~ INDQSTRIAL~
SERVICE: NEW ~ CHANGE [] TEMPORARY [] NOT APPLICABLE []
TYPE: OVERHEAD [] UNDERGROUND [] NOT APPLICABLE []
NU~R OF F~XTURES _~ SWITCHES X_ RECEPTACLES X CIRC~)ITS ~
VOLTS / pH~E
AMPS _
RANGE [] WATER HEATER [] GARBAGE DISPOSAL []
DISHWASHER [] FAN OR BLOWER [~ FURNACE ~
ELECTRIC SIGN [] NOTORS [] CAS PUHP$ []
DESCRIPTmON OF ALL WOI~K BEING DOI~ BASEMENT R~MODEL
DRYER []
~/c []
OTHER
MAS~¢a ~LECTR~CZAN R__]CHARO J W~NZEL
Submit payment with application. F~ilure to pay within 30 doys will result in
£ces being doubled or $100.00 plus the normal permit fee, which ever is greater.
OR
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