HomeMy WebLinkAbout0102646 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
2360 PATRIOT LN
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WESTOWNE HEIGHTS
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 0
No 102646
Create Date 07/03/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of CONDO/2360 D/Provide & install recps in basement.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 07/03/2003
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
JUL. 8,8003 4:00PM NITZKE ELECTRIC
City o£
P.O. Box 1130
Os~os~ WI 54~03.1130
Phon~ (~20)
P~ (920) 236-~0~
N0.078 .... P.2/2 .......
ELECTRICAL PERMIT APPLICATION
Alt infonmtion a£:cr bold categorie~ must be provided,
Incomplct~ applicad0ns will not be processed.
· Application(s) ~nd fee(s) can be brou~t lo City Hall. ROom 205 or mailed 1:o Inspection Services, PO Box 112g,
Oshkosh WI '54903-1128. Commencing work without pen'mt(s) will r~sult in tees being ~loublcd ar $I00.00 plus the
normal peri'nit tee, which cver is greater.
OR
E2Multi. F~..~ily
~pOrary
plicable
FILL I2g THIt~ APPROPRIATJE BLANK WITH TIlE
Volts _J
Phase__ I
Amps~ Switches
CI~CK E ALL APPLICABLE
12Range ~2Dishwasher [2Garbage Disposal
~F~ OR Blower OFumaee ~C
'OMo~ OG~ Pumps ~O~er
Circuits
FiXtures
[2DrYer OWater Heater
L-]EIec~c Si~