HomeMy WebLinkAbout0104157-Electric (wire radon fan)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2490 CLOVER ST
CUMINGS ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WILLIAM M WOLF
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 104157
Create Date 09/15/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/Wire radon fan.
Work
Fees: Valuation
Issued By:
$50.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 09/15/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
722 07S9
p.1
ELECTRIC2%L PERMIT APPLICATION
All information a('Ler Dol. d categorion mL)r:~L be provid(:d.
,TOP, AL)L)RR.:,.~ 2490 CLOVER ST.
OWNER RADON SPECIALISTS
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 09/'15/03~
,~oB NO. 6542
CHECK ALL APPLICABLE
US~CATE~ORY: SINGLE FAMILY[]
COMMERCIAL[]
SERVICE:
TYPE:
NU~ER OF
DUPLEX[] MUL'/'T- F~I L¥[] RSNTAL[~]
I WDI;STR IAL[-~
NEW ~ CHANGE ~ ?EMPORARY ~ NOT A~LICASLE ~
OVERHEAD ~ UNDEHGROUND ~ NOT APPLICABLE
FIxTuRes SWITCIIES . R~CEPTACLES CIRCUITS .
~LTS ~ P~E.
ALL APPLIC~LE
RANGE []
DISHWASHER
ELECTRIC SIGN []
WATER HEATER []
FAN OR I~I,OWER []
MOTOR!; []
GARUAGE DI:;POSAL [] DRYER []
GAS Pt NPS [] OTItER
DESCEI~ION OF ALL I~OPd{ BEING DOI~ ~IRE RADON FAN
VALUE (Including l~or a~xi al1 ma=erials including light fixtures) $50.00
:4ubmit payment with application. F0il~re: t0 pay within 30 days will ~.~>n~lt- ir~
f~c:s bein9 dotlblud or $1OO.O() pigs tho l%0~Itia] permit fee, which ev(~r is qu(~nt, er.
OR
ff I oo-07bo,-25.15-0o00~ ...................