HomeMy WebLinkAbout0098565-Electric (service change) 0 CITY OF OSHKOSH No98565 0A1Wv,
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD DEC I q
ON THE WATER
`RATE
Job Address 972 E SUNNYVIEW RD #56 Owner JEANNIE KROOS Create Date 11/12/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Appliances
Use /Nature of MOBILE HOME/ Install new replacement meter socket.
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 11/12/2002
❑ 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
NOV. 8.2002 2:33PM WITZKE ELECTRIC NO.729 P.6 /10
Ci y of Osbkesb �
Division of Inspection Services pFC1
p,O, Box 1130
Oahkoah. W154903.1130 �AZ�
Phone (920) 336 -5050
FaX (920) 236 -5084 { J
.�N ki WA. R f "-1
ELECTRICAL PERMIT APPLICATION
.A11 iafortnation after bold categories must be provided.
Incomplete applications will not be processed.
•
Application(s) and feo(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1125.
Oshkosh WI 54903 -1125. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the
normal permit fee, which ever is greater.
OR
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DATE 1t - Q'O a
JOB ADDRESS 9 a :4- • L64" 5 6
OWNER � Ma : to IAea+h.?. Te.J
cON RACT0B W►+ z-ke, Electric. rrnc ,
CKECK H ALL, APPLICABLE
USE CATEGORY
Ingle Family DDuplex CIMulti- Family ClRental DCornrnercial ❑Industrial
SERVICE Mew °Temporary TYPE D0verhead ONot Applicable
OChange ONot Applicable 1 Underground
FILL I\ THE APPROPRIATE BLANK WITH THE SU tBER
Volts _Le1l° / a Receptacles # Circuits # __,,.
Phase I
Amps MP Switches r Fixtures #
CHECK H ALL APPLICABLE
DRange Dish washer °Garbage Disposal DDryer °Water Heater
QFan OR Blower ❑Furnace OA'C °Electric Sign
❑Motors Gas Pumps DOther
DESCRIPTION OF ALL BEING DONE
WORKI 1t �,,
_ r ' r te — J ; c,„,c +,
V A , T.TE (Including labor and all m t rta1 inci ng 11 fixtures) $ 50
MASTER ELECTRICL4N � y. t ri.
ao
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Electric Permit Work Card
Job Address 972 E SUNNYVIEW RD #56 Permit Number 98565 Create Date 11/12/2002
Owner JEANNIE KROOS Contractor WITZKE ELECTRIC
Category 634 - Residential - Service Change
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Fee $20.00 Value $500.00
Appliances
Use /Nature MOBILE HOME/ Install new replacement meter socket.
of Work
Inspections:
Date 11/05/2003 Type Service Inspector Jon Fischer approved
Faxed request
11/5/03 faxed in
11/10/03 mailed in
Date /me requested: 12/04/2002 01:17 PM Notice Type: Phone Number: 235 -6572
Access:
Ready Date/Time: 12/04/2002 01:17 PM Requested by: WITZKE ELECTRIC -Tim
0 Reinspect Fee 0 Fee Wavied El Reinspect Fee Paid