HomeMy WebLinkAbout0098562-Electric (service change) 0 CITY OF OSHKOSH No98562 w �ev`
DEC102002 1
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ! J
ON THE WATER OATS
Job Address 3754 GLENVIEW LN Owner JON /SARA HAMMAND 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. B. 2002 2 :33PM WITZKE ELECTRIC NO.729 P. 3/10
City of Oshkosh 01
Division of Inspection Services
P.O. Box 1130 DA1
Oshkosh, WI 54903 -1130
Phone (930) 236 -5030 �
Fax (920) 236.5084 U L _ I ��7
OJH
N VI' WATUR 1 I
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 1125,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the
normal permit fee, which evcr is greater.
OR
/ •, _ a • c•n • .r .. ' 'attn.) i, - - r e .act. ,r v t , , •v . a f „ the k h
if you k•rint this processed throy fh rout account _.
DATE it- $ - QZi
JOB ADDRESS ) 7 5q ktt...J _ e
OWNER aS po___ S r k 'of».e 'a.4
CONTRACTOR_ VI1'f' z.ke, E ld. , -r, G 'inc.
.
CHECK 0' ALL APPLICABLE
USE CATEGORY
ogle Family °Duplex ❑Multi- Family DRental OComrnercial 0Industrial
SERVICE IJw OTemporary TYPE DOverhead ONot Applicable
DChange ONot Applicable CleiS13erground
FILL IN THE APPROPRIATE BLANK WITH THE I's
Volts - /01o, '. 840 Receptacles # Circuits 0
Phase /
A mps /o Switches 0 Fixtures # ,�,_„_
CIiECK 0 ALL APPLICABLE
DRange °Dishwasher o�c age Disposal DDryer °Water Heater
!Zan OR Blower °Furnace °EIectric Sign
Motors Gas Pumps °Other
DESCRIPTION OF ALL WO BEING DONE :17.-ft-6 4.. E.1 e:e
li t �' � ;�� ve ?t3'�"9
VALUE (Including labor and all m 'al Intl ! . fixtures) S '0
, , ) r
MASTER ELECTRICIAN ,. ((A ' .4" /
2/02