HomeMy WebLinkAbout0102163-ElectricOSHKOSH
ON THE WATER
.lob Address 210 DAWES ST
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LRN LLC
Category 631 - Residential-New Multi-FamilyWiring
Amps 600
~) Temp
Type I~ Overhead
Circuits 1
Switches 1
No 102163
Create Date 06/10/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Water Heater, Range, Dishwasher, Fan or Blower, Garbage Disposal, Furnace, Dryer, A/C and Electric Sign.
Use/Nature of NEW 12 UNIT/Service and wiring for new 12 unit. *Job #5955.
Work
Fees: Valuation
Issued By:
$30,000.00 Plan Approval $0.00 Permit Fee Paid $240.00
Date 06/12/2003
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
ELECTRICAL PERMIT APPLICATION
Ail j.r~formation alter bold cate. qorics must br., provided.
lr~comp.](:to, npplicationn will not ne proccnn~.
JOB ADDRESS 210 DAWES ST.
OWNER FOX CITIES CONSTRUCTION
CONTRACTOR CUMINGS ELE,C,T. RlC INC.
DATE 06/10/03
JOB NO. 5955
CBECK ALL APPLIC2%BLE
USE CATEGORY: SINGLE FAMILY~ DUPLEX~ MULTI-FAMIL¥~ RENTAL~
SERVICE: NEW ~ CHANGE ~ TEMPORARY ~ NOT APPLICABLE ~
TXPE: OVERHEAD ~ UNDERGROUND ~ NOT APPLICABLE
~ER OF FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
~PS 600 VOLTS 120/240 P~ss !
CHECK ALLAPPLICABLE
RANGE []
DISHWASHER []
ELECTRIC SIGN []
WATER HEATER []
FAN OR BLOWER
MOTORS []
GARBAGE DISPOSAL []
FURNACE ~
GAS PUMPS []
D~.SCRIPTION OF ALL WORK BEING DONE NEW 12 UNIT
DRY KR []
A/C []
OTHER
VAL%TE (Including labor and all materials including light fixtures)
PEi~MIT FEE:
SuDmit paymeDt with application. Failure to pay within 30 days wil.l resu.l.t in
fees being doubled or $100.00 plus the normal permit fee, which ever is greater.
OR
Ch(~¥~[k~,3..~.~.F y,:,,~ w,~nr: tt~fs pr(.~c,~:~d t:nrough your ,~c~oun~
.¢ O-~..,L ¢-00000
~:100-07' ""
I'~ 69L0 EEL OE8 I~3 e~:90 ~O OI unF