HomeMy WebLinkAbout0101072 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1265 PHEASANT CREEK DR
CUMINGS ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 101072
Create Date 04/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/Wire radon fan* CEI Job #6010
Work
Fees: Valuation
Issued By:
$75.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/29/2003
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
F. LECTRICAL PERMIT APPLICATION
All information after bold categories must b~ pz'ovid~d.
Incomplete applicatioft:~ will t%ot be. procesned.
JOB ADDRESS 1265 P..HEASANT CREEK
OWNER ? RADON SPECIALISTS
DATE 04/29103
JOB NO. 6010
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY[] DUPLEX[] MULTI-FAMILY[] RENTALS]
COMMERCIAL[] INDUSTRIAL[]
SERVICE: NEW [] CHANGE [] TEMPORARY [] NOT APPLICABLE []
TYPE: OVERHEAD [] UNDERGI~OUND [] NOT APPLICABL~ []
NUMBER OF FIXTURES _ SWITCHES . RECEPTACLES _ CIRCUITS _
AMPS _ VOLTS / PHASE
CHECK ALL APPLICABLE
DISI,XWASHER [] FAN OR BLOWER []
ELECTRIC SIGN [] MOTORS []
GA[{BAGE DISPOSAL []
FURNACE ~
GAS PUMPS []
DESCRIPTION OF ALL WORK BEING DONE WIRE ~ADON FAN
DRYER
~lC []
OTHER
V~LUE (Including labor and all matorials including light fixtures) $75.00
PEi~XT ~E:
~S~ER ~C~ICX~ RICHARD J WENZ~L
Submit payment with application. Failure to pay within 30 days will result in
fees being douDled or $100.00 plus ~he normal permit fee, which ever is greater,
OR
(;h~'~:A' ;,e~0 i ~' you want t~.~..~ /.,r'o,~en~ throuqh yo[~r account ~
~] 0(]-0750-2515-00000
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