HomeMy WebLinkAbout0101838 EOSHKOSH
ON THE WATER
,Job Address 415-485 W PACKER AVE
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ANCHORAGE HOMES INC
Category 640- Commercial-Temporary Service
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101838
Create Date 05/30/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Install temp service. *Job #6127.
Work
Fees: Valuation
Issued By:
$100.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 05/30/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
920 722 0769
p.!
ELECTRICAL PERMIT APPLICATION
Ail ~nfo~'m,~t'2on aftof bold c. ateqories must be provided.
.[0c. omplet~ applications will not be proccnn,':d.
DATE 05129/03
JOB ADDRESS 415-485 W. PACKER AVE.
OWNER ANCHORAGE REALTY
CONTRACTOR CUMINGS ELECTRIC 1NC.
CHECK ALL APPLICABLE
USE CATEGORX: SINGLE FAMILY~
COMMERCIAL~
JoB No. 6127
~NDUSTR~%~
SERVICE: NEW ~ CHANGE [] TEMPORAt(Y [] NOT APPLICABLE ~
TYPE: OVERHEAD ~ UNDERGROUND [] NOT APPLICABLE []
NOMBER OF FIXTURES _ SWITCHES _ RECEPTACLES . CIRCUITS
AM~$ 10~0 VOLTS 120/240 P~ASE !
CHECK ALL APPLICABLE
RANGE [~
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWBR []
MOTORS []
GARBAGE DISPOSAL
FURNACE []
GAS PUMPS ~]
DESCRIPTION OF ALL WO]~K BEING DON]~ TEMPORARY SERVICE
DRYER []
a/c El
OTHER
VALUE (Zncluding labor and all matorials including light fixtures) $100.00
PE~IT ~:
~TER E~CTRIC~ RICHARD J ~NZEL
Submit payment with application. Failure to pay within 30 day~ will result in
fees being doubled or $100.00 plus the normal pe~t fee, which ever is greater.
OR
~'100-077)0-25] 5-00000