HomeMy WebLinkAbout0101611-ElectricOSHKOSH
ON THE WATER
.lob Address 2767 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 101611
Create Date 04/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/Wiring and service for new home. *Job #6077.
Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
$90.00
Date 05/19/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
~ ~a~19 03 Ot:~2p CE! 920 ?E2 0769
Di¥i.",ion of In~peution :;ezvic~$
Oe.D~o~h, WI 54903-~'130
F~K (920) 236-508q
Phone (920) 2j6-5045
ELECTRICAL PERMIT APPLICATION
All information after bold categorio$ must be
Incomplete app./~.(:~.~tions will not be
JOB ADDRESS 2767 CLOVER SI
OWNER DEWEY JACOBSON
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 05119/03
JoB NO. 6077
USE C.A~GORY: SINGLE FAMILY~ DUPLEX~] M~LTI-FAMILY~] RENTAL~
COMMERCIAL~ INDUSTRIAL~
S~VICE: NEW ~ CHANGE ~ TEMPORARY ~ NOT APPLICABLE ~
TYPE: OVERHEAD ~ UNDERGROUND ~ NOT APPLICABLE
~R OF FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
~PS 20~ VOLTS 120/240 m~m i
ALL APPLICABLE
RANGE [] WATER HEATER [] GARBAGE DISPOSAL [] DRYER []
DISHWASHER [] FAN OR BLOWER [] FURNACE [] A/C []
ELECTRIC SIGN ~ MOTORS [] GAS PUMPS [] OTHER
D~SCRIPTION OF ALL WORK BEING DONE NEW HOUSE
VALISE (Including labor and all materials including light fixtures) $3,~00.00
~STER ~CTRICI~ RICHARD J WENZEL
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever i~ greater.
OR
Ct__L~g~..hcz'O i.f Fou Wa~. this...pro~t~'~.~ed through yqur ,~c~:u,~t ~
% 100-O'/50-2515-00000