HomeMy WebLinkAbout0101456-ElectricOSHKOSH
ON THE WATER
.lob Address 670 GROVE ST
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 1
Switches 1
No 101456
Create Date 04/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Water Heater, Fan or Blower, Dryer, Garbage Disposal, Furnace & A/C.
Use/Nature of NSFR/ Install service and wiring for new home. *Job #6063.
Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
$75.00
Date 05/13/2003
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
~, Ma~ 13 03 10:34a CEI 920 ?22 0?69
215 Church Avenue
P.O. ~ox 1130
O~hkosh, WZ 54903-'11~0
Fax (920) 236-50~
~h~n~ I~20} 236-5046
ELECTRICAL PERMIT APPLICATION
All information nfter bold catc. gories must be provi~cct.
Incomplete applicationn wL,1.] r,O[ be processed.
JOB ADDRESS 670 GROVE ST.
OWNER DEVVF_.Y ,JACOBSON
DATE 05/!3/03
JOB NO. 6063
CONTRACTOR CUMINGS ELECTRIC INC.
CHECK~LLAPPLiCABLE
USE CATEGORY: SINGLE FAMILY~ DUPLEX~ MULTI-FAMILY~ RENTAL~
COMMERCIAL[~ [NDUSTRIAL~
SERVICE: NEW ~ CHANGE ~ TEMPORARY ~ NOT APPLICABLE ~
T~PE: OVERHEAD ~ UNDERGROUND ~ NOT APPLICABLE
~ER OF FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
~s 200 VOLTS 120/240 P~SE !
C~fECK AL~- APPLICABLE
HANGS []
DISHWASHER ~
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER ~
MOTORS [~
GARBAGE DisPel;AL []
FURNACE []
GAS PUMPS ~
DESCRIPTION OF ALL WORK BEING DONE NEW HOUSE
DRYER []
A/c IRI
OTHER
VA/~UE (Including laboz and all materials ineludi,g light fixtures) $3.000,00
PE~4IT FEE
MASTER ELECTRICI2%N R~GHARD
~';ubmit Dayment with application. Failure to pay within 30 days will result
fees being doubled or $100.00 plus the normal permit ~¢e, which ever is ~rcater.
OR
~..'l~.~?.k. hero. if ¥,~,~ w~t' this proccss<:d tl'troug~t, your .o~:<?t~,,)~.. []
tf 100--075[)-251 5-00000