HomeMy WebLinkAbout090084 - Electric (NSF wiring ) 0 CITY OF OSHKOSH No 90084
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2111 MOUNT VERNON ST Owner THOMAS N RUSCH Create Date 07/26/2001
Contractor CUMINGS ELECTRIC Category 611 -Residential-New Single Family Wirin Plan
Service 0 New O Change 0 Temp Type O Overhead • Underground
Volts 120/240 Circuits Fixtures
Amps 200 Switches
Receptacles
Appliances Range,Water Heater,Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace,NC
Use/Nature of NSF wiring
Work
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $90.00
Issued By:
Date 10/04/2001
❑ 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 (Dick)585-501
OCT-03-2001 07:29 P.01
6 o vision of Inspection Services
21S Cnurr:h Avenue
P.O. RO)4 1130
.—J Oshkosh, WI 54903-1130
- rl Fax 1920) 2. 6-50N4
•r WnI u
I phone 1920) 236-5046
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must he provided_
Tr,conp]ete applications will' not be processed.
, DATE 10/03/01
JOB ADDRESS 2111 MNT VERNON ST JOB NO. 3980
OWN R kUSCH CONSTRUCTION
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CON RAY:TOR CUMINGS ELECTRIC tNC.
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CHEC L APPLICABLE
USE GORY: SINGLE FAMILYM DUPLEX MULTI-•FAMILY❑ RENTAL❑
COMMERCIAL❑ INDUSTRlALO
SERVICE: NEW ® CHANGE 0 TEMPORARY, 11 NOT APPLICABLE E]
TYPE!: ! OVERHEAD 0 UNDERGROUND I® ' NOT APPLICABLE 0
NUMBER OF FIXTURES X SWITCHES X RECEPTACLES X CIRCUITS X
AMPS 2d0 VOLTS 120/240 PHASE 1
CNEC ALL APPLICABLE
RANG Eil WATER NEATER ® GyARPAGE ;DISPOSAL ® DRYER
,
ED
DISH AS`HER ® FAN OR BLOWER ® FURNACE N A/C N
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ELEC RIC SIGN 0 MOTORS 0 GAS PUMPS Q OTHER
DES IPTION OF ALL WORK BEING DONE NEWHOUSE !
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VALLI (jlneluding labor and all materials including light fixtures) $$350O.0O
Priori. F£.14:
MASTER ELECTRICIAN RICHARD J WENZEL
Submtipayment with application. Failure to pay within 30 days will result in
fees' beiing doubled or $100 .00 plus the normal !permit fee, which ever is greater.
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OR
ChecY._hre if you want this processed through your; account N
#100-0750-25L5-00000
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TOTAL P.01