HomeMy WebLinkAbout0098570-Electric (receptacles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
600 MERRITT AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSHKOSH HOUSING AUTHORITY
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Type I~ Overhead
Circuits 0
Switches 0
No 98570
Create Date 11/12/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of MULTI-FAMILY/Provide & install 2 - volt recps extended from an existing circuit.
Work
Fees: Valuation
Issued By:
$250.00 Plan Approval $0.00 Permit Fee Paid
$0.00
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. 1~, 2002 10: SlAM
Ci~7 ~ f O~hk~h
Division ofh~c~ion S~,icc~
P.O. Box 1'1~0
Os~k WI ~3. 1130
Phone (920}
~ax (920)
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ali information after bold categories must be provided,
Incompk~c appliea~io~ will not be processed,
N0.763 P.a/9
· Application(s) and fee(s) can be brought lo City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '$4903-112/1. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater,
OR
If you_are a contract.or l~t:rti~'l~,_Iin~ t~ ~hz Pe~rm,it__~_~e ,4ccounr Svytem,and ha~e adeo_uo~ fun.ds, ch~ ]~ere~
if___volt ~t this nro~xred ~hr~h .vou~ acco~tnt~
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family ~Duplex
~ulti-Family
SERVICE ~New
r'lc'nsng¢
orary
pplicable
t:IRental UICommerciaI [:llndustrial
TYPE ~Overhead [N'lq~Appliaable
rlUndcrground
FILL IN THE APPROPRIATE BLANK WITH THE ~
Volts [ ,, Receptacles # ~ ....
Phase -
Amps Switches #
Circuits #_
Fixtures #
CHRCK [] .al',L APPLICABLE
Ell~a~ge l:]Dishwasher r"lGarbag¢ Disposal rlDryer
EIFan OR. Blow~ l~Furnace DA/C DEIectn~ Sign
~Momrz ~Gas Pumps DOther
F1Water Heater