HomeMy WebLinkAbout0100811-ElectricOSHKOSH
ON THE WATER
.lob Address 2777 CLOVER ST
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 1
Switches 1
No 100811
Create Date 04/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace & A/C
Use/Nature of NSFR/ New home wiring & service. *Job #5936.
Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
$90.00
Date 04/15/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
Oshkosh, WI 54g03-1!~0
ET.~.CTRICAL PERMIT APPLICATION
All information aft~:r bold c,l~ngorien must be provided.
lncomp]e, te application:{; w%]] not be processed.
JOB ADDRESS 2777 CLOVER ST.
OWNER DEWEY JACOB$ON
CONTRACTOR CUMINGS ELECTRIC lNG,
DATE 04t14/0_.__.__~3
~o~ NO. 5936
CHECK ALL APPLICABLE
USE C2%TE~ORY: .qlNGLE FAMILY[]
COMME RC IAL[~
SERVICE:
TYPE:
N~MBER OF
AMPS 200.
DUPLEX[~ MULTf-FA"ILY~ RENTALE]
INDUSTRIALS]
NEW ~ CHANGE ~ T~PO[~[{Y ~ NOT APPLICABLE ~
OVERHEAD ~ UNDERGROUND ~ NOT APPLICABLE 0
FIXTURES X SWITCHES X RECEPTACLES ~ CIRCUITS ~
VOLTS 120/240 P~E !
CHECK ALL APPLICABLE
RANGE []
DISHWASHER []
EI,ECTRIC SIGN
WATER HEATER []
FAN OR BLOWER []
MOTORS []
GARBAGE DISPOSAL []
FURNACE []
CAS PU~PS []
DESCRIPTION OF ALL WORK BEING DONE NEW HOUSE
DRYER []
A/C ~
OTHER
VALUE (Including labor ~u~d all materials including light fixtures) $3,500.00
PERMIT F~E:
MASTER ELECTRICIAN RICHARD J WENZEL
.~;ubmit poyment with application. Failure to pay within 30 days will result ~n
fees being doubled or $100.00 plus the normal permit fee.., which ever is greater.
OR
Che~:k ho. re .i? ~;OU want ~h;s proc. c:.used ~.hro~;gh },our ~,ccount []
~ 100-07 bO-2515-00000
I '~ 89t0 EEL 0~8 IB9 ~EE:~-I EO 91 ,JclU