HomeMy WebLinkAbout0103325-Electric (fan)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1037 W 10TH AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RICHARD/ANGELIN TURTENSKI
Category 823- ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 0
Switches 1
No 103325
Create Date 08/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/Wiring for owner's ceiling fan.
Work
Fees: Valuation
Issued By:
$300.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 08/05/2003
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.
AUG. 1,2003 3:35PM NITZKE ELECTRIC
H0.372 P,2/2
~iv2ion of ln~i:~ioa
P,O. Bo~ 1130
Os~s~ Wl ~4~3-I
Fax (920) 236-~0~4
ELECTRICAL PERMIT APPLICATION
All ir, formation Sf~er bold =amgaHe~ mu~t be provided.
lacomplete application~ will not bc pr~essed.
· Application(s) and £e¢(s) can be brought to City Itall, Room 205 or mailed to Inspection Services, PO Box 112g,
Oshkosh WI '54903-112g. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever i~ greater.
OR
~ottSe~cl
. ' 'ouw te es r es de
CI-~CK ~ ALL APPLICABLE
USE CATEGORY
I"ISingle Family u~ptex ElMulti-Family
SERVICR E]New
~Chente ~o~ Applicabl~
r~Rental ElComme~ial E]Mdustrial
TYPE [~Overhead ~ot~otApplicable
f~Under~Tound
FILL IN THE APPROPRIATE BLAaN'K %%lTH THE
Volts. / Receptacles
Phase
Amps_ Switches #
Circuits #.
Fixtures # /
CHECK//[ ALL APPLICABLE
~Range DDishwasher ~Garbage Disposal
~Fa~ OR Blower ElFumaee DA/C
~Motors EI C-as Pwnps ~Other
DESCRIPTION OF AL1. WORK, BEING DOKE
ElDryer EIWater tteat~r
~Electric Si~
,..,
all m~ ~t~ ~n~ ng ll~ fixtures) $ ._~ ~'~ ~
VALI.~ (Including labor and
MASTm~ ~I~CTRICI~'~
3/02