HomeMy WebLinkAbout0098564-Electric (meter socket) CITY OF OSHKOSH No 98564
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3756 GLENKIRK LN Owner DAN/TAMMIE HANKS Create Date 11/12/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service p 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.5/10
City of Oshkosh
D
t 1 61
ivision of Inspection Services csk.c.104-v- e 6
P.O. Box 1130 Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 Dp`
Fax (920) 236-5084
pN TN WAT2R
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 1128,
Oshkosh WI 54903.1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 plus the
normal permit fee, which ever is greater.
OR
/ vo re _ c • r • ' he P r„ • u t vst h - k • re
if you wont this processed through your account
DATE �. $ ' oQ
JOB ADDRESS 3 F 5 G &lit // //
OWNER Ga R r are (k 4oNl@ 'e.-4
CONTRACTOR W i t eke E It° Cfr e'9 C.
CHECK 0 ALL APPLICABLE
USE CATEGORY •
1ig1e Family ❑Duplex °Multi Family °Rental ❑Commercial ❑industrial
-- SERVICE Elfre; °Temporary TYPE °Overhead ❑Not Applicable
°Change °Not Applicable Offerground
FILL IN THE APPROPRIATE BLANK WITH THE i Mme$
Volts /ao / ago o Receptacles # Circuits
Phase
Amps 1c8 Switcbes # Fixtures #
CEECK 0 ALL APPLICABLE
Mange ❑Dishwasher OGarbage Disposal DDryer DWater Heater
ClFan OR Blower °Furnace OA/C DElectric Sign
°Motors °Gas Pumps DOther
DESCRIPTION OF ALL WORK DONE
VALUE (Including labor and all mat inel ng 11 fixtures) S
M ASTERELECTRICIUN .. •MIN • "..-..".** �� c `"■. -�
3/02