HomeMy WebLinkAbout0103047 EOSHKOSH
ON THE WATER
,Job Address 122 W 23RD AVE
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ERIC W/JESSICA KUBALEK
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 103047
Create Date 07/23/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Replace entrance cable and meter socket with PVC.
Work
Fees: Valuation
Issued By:
$560.00 Plan Approval
$0.00 Permit Fee Paid
$25.00
Date 07/23/2003
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
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~UL. 2~. 2003
Ciq~ of Osh~mh
Division of lmpccdon
P.O. Box ID0
Phone (920) 2~6-~0~0
F~x (920)
10:09AM WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ali informstion az"r~r bold categories must be provided,
InComplete applications will not b~ pro~ssed,
H0.253
P.1/2 \
Application(s) and fee(s) can be brought to City Hall, P, OOm 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal penmt foe, which ever is ~reater.
OR
Zf ~ou are a ~ntrctetor ~artle(~atine in theJnermtt Fee W¢COUnt Sv.~tem and have ad~ll~alt£und$, £hec~ ~.
~t want this ~roco~ed t~rou~h ~o~ Recount ~
E3Rental FlCorcamerciel Fllndustrial
TYPI~ ~r~ve~head IDNo~ A. pplie~ble
~Underground
FILL EN TItZ APPROPRIATE BLANK. ~'ITH TIlE
Volts ~ ~,q ~ Receptacles #
Phase r
Amps / ~ Switche~ #.
Circuits
Fixtures
CHECK 1~ ALL APPLICABLE
C]Ranse ~Dishwasher l"lOarbage Disposal r~Dryer FlWater Hearer
[~an OR Blower fflFumace r~A,/C l~Elec~c Sign
'[3Motors r-tGas lhrmps Orher