HomeMy WebLinkAbout0102555 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
521 523 W 15TH AVE
CUMINGS ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner VIENOLA VENTURES LLC
Category 623- ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 1
Switches 0
No 102555
Create Date 07/01/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of DUPLEX/Wire radon fan. *Job #6237.
Work
Fees: Valuation
Issued By:
$75.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 07/01/2003
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
~un H~ 03 02:~?p C£I 920 722 0769
~ax 1920) Z36-50B4
ELECTRICAL PERMIT APPLICATION
All information .~fter bc~ld cat¢:gor~e:~ mu:.-.t bo provid~'~d.
Incomp]e[e applications wLll not be proce.m~ed.
JOB ADDRESS 521-523 W 15TH AVE.
OWNER ? RADON SPECIALITS
CONTRACTOR CUMINGS ELEC!RIC INC.
DATE p~-30-03
JOB NO. 6237
C~CK ALL APPLI~LE
USE CATEGORY: SINGLE FAMILY~
COMMERCIAL[]
SERVICE:
TYPE:
NUMBER OF
DUPLEX~ MULTI-FAMILY~'] RENTALS]
INDUSTRIALS]
NEW [] CHANGE O TEMPORARY [] NOT APPLICABLE []
OVERHEAD [] UNDERGROUND [] NOT APPLICABLE []
FIXTURES - SWITCHES RECEPTACLES - CIRCUITS ~
VOLTS __/ PHASE -
~--n~CKALL APPLXC2%~LE
RANGE [] WATER HEATER [] GARBAG~ DISPOSAL []
DISHWASHER [] FAN OR BLOWER [] FURNACE []
ELECTRIC SIGN ~ MOTORS [] GAS PUMPS []
DESCRIPTION OF ALLWORKBEINGDONE WIRE RADON,,,~AN
DRYER []
A/C []
OTHER
V~LUE (Including la~r and all ma~rial~ including light fixtumes) $75.00
~s~ s~c~Icz~ RICHARD J ~NZEL
Subm[= paymen~ with application. Failure to pay wit. bin 30 days will result in
fees being doubled or $100.00 plu~ ~he normal permit fee, which ever is greater.
OR
Chcc~ here if~.y~u