HomeMy WebLinkAbout0101957-ElectricOSHKOSH
ON THE WATER
.lob Address 2080 DICKINSON AVE
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner 2090 DICKINSON AVE LLC
Category 640- Commercial-Temporary Service
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101957
Create Date 06/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of NEW 6 UNIT APT BLDG/Temp Service. *Job #6035.
Work
Fees: Valuation
Issued By:
$100.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 06/05/2003
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
Division of inspection i;ervicez
2!5 (:hutch Avenue
P.(}. ~ox i130
ELECTRICAL PERMIT APPLICATION
Ail i~lformation aftur br.~ld categories mutt
Incomplete applications will no~ bn proce...~:~d.
JOB ADDR ....... 2080 DICKENSON
O~NER KEN F._AL!S~H.,.S~C_HWAB P_ROP_ERTIES
CONtRACtOR CUMINGS ELECTRIC INC,
DATE 06/04103
Jo~ No. 6035
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY~ DUPLEX~ MULTI-?AMILY~ RENTAL~
COMMERCIALF] INDUSTRIALG
S=RVZCZ: NEW ~ CHANGE ~ TEMPO~RY ~ NOT APPLICABLE ~
T~PE: OVERIIEAD ~ UNDERGROUND ~ NOT APPLICABLE ~
~ER OF F1XTURES SWITCHES RECEPTACLES _ CIRCUITS
~Ps 100 VOLTS 120/240 P~SE ~
CHECK ALL APPLICABLE
RANGE []
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER []
MOTORS [~
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS []
DESCRIPTION OF ~ WORK BI~IN~ DON~ TEMPORARY SERVICF
DRYER []
[]
OTHER
VALU~ (Including labor and all materials including light fixture~) $100.
MASTZR £LCCT~ZCZAN RICHARD J WI:NZ~L
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $I00.00 plus the normal permi~ fee, whi. ch ever is greater.
OR
Che,:?k ho're if you w~nt thim ~.~ru¢:~,~ed t/;rou h
.................................................. ' .......... :-': ............9. .~ouz- account []
ff100-0750-2515-00000
I '~ 69LO E8A 0~8 I3D ~L~:80 ED ~O unc