HomeMy WebLinkAbout0102039 EOSHKOSH
ON THE WATER
.lob Address 1290 PHEASANT CREEK DR
Contractor CUMINGS ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 1
Switches 1
No 102039
Create Date 05/20/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/Service and wiring for new home. *Job #6173.
Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
$90.00
Date 06/09/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 749 1414 COUNTY RD JJ NEENAH WI 54957 - 749 Telephone Number
231-5946
ELECTRICAL PERMIT APPLICATION
All .iI~form,~tion a~ter bold cateqorie$ must b,? provided.
MULTI-FAMILYD
INDUSTRIALO
JOB ADDRESS 1290 PHEASANT CREEK
OWNER RUSCH HOMES
CONTRACTOR CUMI,~S ELECTRIC INC.
CHECK ~LL~PLICJ~E
USE C~TEC~RY: SINGLE FAMILY[] DUPLEX[]
COMMERCIAL[]
DATE 06/09/03
NO. 6173
RENTALD
SERVICE: NEW [] CHANGE [] TEMPORARY [~] NOT APPLICABLE []
TYPE: OVERHEAD [] UNDERGROUND [] NOT APPLICABLE []
N~4BER OF FIXTURES ~ SWITCHES ~ RECEPTACLES ~ CIRCUITS ~
AMPS 200 VOLTS 120/240 P~ASE !
RANGE []
DISHWASHER []
ELECTRIC SIGN []
CH~CK ALL APPLICABLE
WATER HEATER [] GARBAGE DISPOSAL []
FAN OR BLOWER ~ FURNACE []
~OTO~S [] (;ns PUNPS []
DESCRIPTION OF ~LLWO~K BEING DO~ NEWHOUSE
Ale []
OTHER
VAL%~ (Including labor and al1 materials including light fixtures) $3,500.00
t',AST~R EL~CT~.ICZAN RICHARD J WENZEL
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit. ~ee, which ever is greater.
OR
Check hez'e i.~:.J~_?_~L.want this pro~?s.':ed throngh yo,,r. ~,,.~,.xUult []
~'~ BSLO EEA 0~8 I33 eES:AO ~O 80 uric