HomeMy WebLinkAbout0098561-Electric (meter socket) 0 CITY OF OSHKOSH No 98561 v"
DE11 a 2002
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD 0A-
ON THE WATER
Job Address 3735 GLENHURST LN Owner JESSICA SMITH Create Date 11/12/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service p New Q Change Q 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
0 Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming 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. $.22 2 :33PM WITZKE ELECTRIC NO.729 P.2ii0
10
City of Oshkosh
Division of Inspection Services o
P.O. Box 1130
Oshkosh. W154903.1130
Phone (920) 236 -5030 DAB
Fax (920) 236-5084
p r v %'e w lilt
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided. •
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to inspection Services, PO Box 1126,
Oshkosh WI 54903-1128. Commencing work without permits) Will result in fees being doubled or 5100.00 plus the
normal permit fee, which ever is greater.
OR
v• or • • r. • • rtfc ' 'n r r„ ' o _ Rd have • • • , e tun f • h
U vou wont this nroeessed through your account '4
DATE 1/ - 0Q
.YOB ADDRESS 3 3 $ C( /
OWNER 8 ` s o � � Oatstr, 4 o i'''l ‘C.--
cols-TRAcTox Ul i t- eke E.Idafricd
CKECK 0 ALL APPLICABLE
USE CATEGORY
[8511 gle Family °Duplex °Multi Family ❑Rental °Commercial °Industrial
SERVICE Cie • 17Ternporary TYPE °Overhead °Not Applicable
DCbange °Not Applicable D'derground
FILL I` THE APPROPRIATE BLANK WITH THE NJ ER
Volts ldc5 ./ a L{D Receptacles # Circuits
Phase /
`nips .• _/ Switches # Fixtures
CHECK 0 ALL APPLICABLE
Mange °Dishwasher DG Disposal °Dryer °Water Heater
(=Man OR Blower °Furnace ❑Electric Sign
°Motors °Gas Pumps Other •
DESCRIPTION OF ALL WORIC
V ` L (Including labor and all m __ . fixtures) S SOO � ..- ..
•
I`'RASTER ELECTRICIAN :Ag Mli. P �a. , .�..
2/02