HomeMy WebLinkAbout0102768 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
829 N MAIN ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner THOMAS J BICKFORD
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 2
No 102768
Create Date 07/11/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/Wiring for bathroom remodel.
Work
Fees: Valuation
Issued By:
$1,085.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 07/11/2003
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 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
WITZEE ELECTRIC M0.136 P.a/2
ELECTRICAL PERMIT APPLICATION
All mformanon a.uer bold categories faust be :rovide't
I-uco..'~. leto ap~'lk~tior, s w I not be prnce~scd.
amc fee(s] =am 5¢ brough: ~o C~' ~a.1. ~ ~ ~ ~ '
. · r,o~ m ~0. or rustled t~ ~ecdon Scn'ic~s. PO ~ox 1128.
' Commencing wor~ wnnout ~rs~ ,~ll resuk in fc~s b:in~ doubled or S100.00 pbs the
~490o-1128. '
~. whbh ever is ~eacr.
OR
CItE CK E .aLL -APPLICABLE
AT£GORY
le .Family lDDuplex ~-'Muhi-Fam, il-.~.
, SERa, CZ DN~w ~orm' ,
DCha~ge
["]Rentsi r'lComrnercia] DIndustnaI
TYPE EIOverhead ~o~ Appli::b e
r~Under~ound
FILL IN THX APPROPRIATE BL.-~NK %VITH THE
Volts __ / Receptacles --
Phase ~
Amps __ Switches ~_
CHECK ~z ~LL APPLICABLE
Blo'.,,'er 12Dishwasher rnO~rbag~ Disposal
~Fumace
.ElMotors ~Gas Pumps ~Othcr ...
Circuits = [
Fixtures ,--, ~
~Dr>.'er vl't. Vatcr
afire, nglil fixtures) ~_
k..,. VALU~ (Including labor nnd
,,.' MASTER ELECTRICIAN