HomeMy WebLinkAbout0103117-Electric (receptacles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
631 W 11 TH AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GARY J WEBER
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 103117
Create Date 07/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dryer
Use/Nature of SFR/Install 4 wire dryer recp & cord.
Work
Fees: Valuation
Issued By:
$170.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 07/25/2003
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.
~ SUL. 25.288B I:~PM NITZEE ELECTRIC
Ciw of Oshkmh
P,O. Box
Os~olh, ~ ~4~03-1130
Pho~ (~20) 2~-5050
~ax (920) 23~5084
299-- --P 2~2 ....
ELECTRICAL PERMIT APPUCATION
All i~formatioa s. fmr bold cazegori:s must be provided.
lacompl~te applications ~ll ~ot be processed,
· Application(s) and £ee(s) can be brought m City Hall, Room 205 or mailed to laspaction $¢rVkes, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fed, which ever is greater.
OR
wnt hi r ce s t r~
.co cro V i+zae E/aL rr 'c
C;H.ECK l~' ALL APPLICABLE
.~'n~GORy
[~Single Family l-lDuplex E]Multi. Farnily
SERVICE ElNew
F1Change l::~ot Applicable
i-]Rental ~Comm~r¢ial ~[udus~al
TYPE L"lOvcrhemd o[~ Applicable
~UnderSround
FILL IN TH~ APPROPRLi. TE BLANK WITH ~
Volts__ / Receptacles
Phase __
Am~s __ --
- Switohes ~
CI~2[CI~ 1~ ALL APPLICABLE
URaage r'lDishwasher r'lGarbage Disposal
E3Fan OR Blower nFumace [2A/C
~Motor~ DOes Pumps DOther:
D~--~CRIPTION OF ALL WORI,
/ VALUll (Inclt, dSng labor and all t~
lVIASTy. R ELEc'n CIA.
]
Circuits ~_
Fixtures .~_
~ [2Water Hea~er
mElec~c Sign
3/02