HomeMy WebLinkAbout0101876-ElectricOSHKOSH
ON THE WATER
.lob Address 650 GROVE ST
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES INC
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 1
Switches 1
No 101876
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 & service for new home. *Job #6134.
Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
$75.00
Date 06/02/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
21~ Church Av~nu~.~
Oshkosh, WX ~4903-11.30
Fa~ (920) 2'36-5084
~u (920) 236~5046
ELECTRICAL PERMIT APPLICATION
AIl in£ormation aft~.-r bold cateqo~'ies aunt bo. providud.
Incomplete app]ications will not bo ~roco. ss~d.
JOB ADDRESS 650 GROVE ST.
OWNER DEWEY JACOB$ON
CONTRACTOR CUMINGS ELECTRIC INC.
DATE 05t30/03
JOB NO. 6134
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY~
COMMERCIAL[~
SERVICE:
TYPE:
NUMBER OF
m~s ,2.0.0
DUPLEX~ MULT I- F;~Z4I LYO RENTAL[~
INDUSTRIALS]
NEW [] CHANGE [] TEMPORARY [] NOT APPLiCABnE ~]
OVERHEAD [] UNDERGROUND ~ NOT APPLICABLE
FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
VOLTS 120/240 P~SE !
CHECKALL APPLICA]]LE
RANGE [] WATER HEATER []
DISHWASHER [] FAN OR BLOWER
ELECTRIC SIGN [] MOTORS ~]
GARBAGE DISPOSAL []
FURNACE ~
GAS PUMPS []
DESCRIPTION OF ALL WORK BEING DONE
DRYER []
A/C []
OTHER
VAL~E (Including labor and all materials including light fixtures) $3,000.00
PEI~MIT FEE:
MAST~,~ ZLmC~ICZAN RICHARD J WeNZet
Submit payment with appkication. F,'~ilure to pay within 30 days will result in
fees being douDled or $100.00 plus the normal permit fee, which ever is greater.
OR
here i_f__~ou w,~nr. ~his ~)rocessed r~hrouqh your ~',ccount ~
]. 00-0750-2 b 1!~-0(~000