HomeMy WebLinkAbout2003-Electric (3rd fl)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
424 WASHINGTON AVE
CUMINGS ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RESIDENTIAL SERVICE MANAGEMENT
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 1
Switches 1
No 101817
Create Date 05/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Third floor remodel and heat tape circuit. *Job #6110.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval
$0.00 Permit Fee Paid
$45.00
Date 05/29/2003
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
· ~ Ha~ E? 03 O?:51a CEI
P.O. Box
920 722 07139
ELECTRICAL PEP~ZIT APPLICATION
Ail in~ormatlon a~tcr bold catcqorius must be. Drovi~d.
Tncomplete ,~pplication~ will not be' pro,.:c,':;:;c?(i.
DATE 05/27/03
JOB ADDRESS 424Washin~too_A_y_e:.
OWNER Clarity Care
CONTRACTOR CUMINGS ELECTRIC INC.
JOS NO. 6110
CHECK ALL APPLICABLE
USE CATEGORY:
SERVICE:
TYPE:
NTR~ER OF
AMPS
, iNDUSTI{IALO
COMMERCI~..
OVERHEAD 0 UNDERGROUND [] NOT APPLICABLE
FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
VOLTS / PHASE _
CHECK ALL APPLICABLE
RANGE ~
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER
MOTORS []
GARBAGE DISPOSAL []
FURNACE []
GAf~ PUMPS []
DRYER []
Afc 0
OTHEI{
DESCRIPTION OF ALL TCORK BEING DONE 3rd floor remodel, heat tape circuit
V3LLUE (Including l~bor and all mat~r£al~ A~¢luding light fixtures) $1.000.00
P~XT ~E ~
~s~ ~=c~zc=~ RICHARD J ~NZEL
Submit pa~nt with application. Failure to pay within 30 day>; will re,hilt in
fees being doubled or $100.00 plus the normal permit fee, which ever is grea~er.
OR