HomeMy WebLinkAbout0101893-Electric (change service)OSHKOSH '"
ON THE WATER~
,Job Address 1005 TAFT AVE
Contractor WITZKE ELECTRIC
Service ~) New
Volts 120/240
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SHEILA JARVENPAA
Category 634- Residential-Service Change
No101893
O Change (~Temp
Circuits
Switches
Create Date 06/02/2003
Plan
Type (~)Overhead _.~_Undergr~°u~ I
0 Fixtures 0
0 Receptacles 0
Appliances
Use/Nature of ~FR/Change overhead service.
Work
Fees: Valuation $1,595.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By:
Date 06/02/2003
[] Permit Voided j
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920-235-6572
M~Y.28.200B ~:22~M
NITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Al! izff'am-~tian afar b~kl catc$o~'ies m~st be pray{deal.
lncomplcte appli~atio~ will not be processed.
M0.697
· Applicalion(s) and fee(s) c~n be brought :o City Hall, Room 205 or mailed to Inspection 5~wices, PO Box 1128,
OshkoshWI'S4903-1128. Commencmgworkw~'choutpenmt(s) wfllrcsultm f¢csbcmgdoub! d or $100,00 plus thc
n~rma! perralt fee, which cvcr is ~'cater,
OR
_lfv~Lar~ a ~oat~'ac:or ~a~.ri~ivatin~ I~ ~h~ ~ermit F~e ~c~ount S~t~m and hav~ funds, check here
~u wan~ tht~ms~ed through your account ~
CO CTO Wi+
CPI~CK ~ ALL APPLICABLE
$.E. CATEGORY
tngle Family r'lDuplex [2Multi-Family
SERVICE ElNew ~Temporary
~lmnge mNot Applicable
~P, ental rlCommerci~. Elladusuial
TYPE ~?.varhead ~Not Applicable
i2Under~round
FILL LN TI~ APPROPRIATE BLANK WITH Tlt~ ~,,~IBER
Volts
Phase
Amps
Receptacles #~ Circuits #.
Switches # Fkxtures g
CtiECK ~ .iLL APPLICABLE