HomeMy WebLinkAbout0098568-Electric (service change) 0 CITY OF OSHKOSH No 9856: c9GP'NNF%
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OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER 'Aft
Job Address 972 E SUNNYVIEW RD #17 Owner MARY BAHR Create Date 11/12/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New O 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 $20.00
Issued By: Date 11/12/2002
0 Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920 - 235 -6572
NOV. 8.2002 2 :34PM WITZKE ELECTRIC N0.729 P.9 /10
City of Oshkosh y G
Division of Inspection Services 02002
P.O. Box 1130
Oshkosh, WI 34903 -1130 DA1
Phone (920) 336.5050
Fax (920) 236 -5084 U
ON T4: WATT 3
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128.
Oshkosh WI '54903 - 1125. Commencing work without pertnit(s) will result in fees being doubled or 5100.00 plus the
normal permit fee, which ever is greater.
OR
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JOB ADDRESS_ 9 / S 4+ yr
OWNER 1. kept e 3 MO B Ao+A To.,t �F•,
CONTRACTOR W e t 2-ke E reci ri G Z ,
CHECK El ALL APPLICABLE
USE CATEGORY
Fein Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial °Industrial
SERVICE Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable j$Underground
FILL IN TIE APPROPRIATE BLANK WITH THE 12 ER
Volts /d0 / a.10 Receptacles # Circuits #
Phase
Am ps --lam Switches Fixtures
CHECK 0 ALL APPLICABLE
Range °Dishwasher °Garbage Disposal ❑Dryer ❑Water Heater
Pan OR Blower °Furnace ❑A'C ❑Electric Sign
DMotors ❑Gas Pumps pother
DEscpp'floN OF ALL WORK BEING DONE T�...� st \ t A�? �J `1cc t�rukt
'
VALUE (Including labor and all m t ria4 incl fixtures) S
MASTER ELECTRICIAN i & t /I�. 1 ' .,r r�;, - 1 - r'e'p
4 are at,
3/02
Electric Permit Work Card
Job Address 972 E SUNNYVIEW RD #17 Permit Number 98568 Create Date 11/12/2002
Owner MARY BAHR Contractor WITZKE ELECTRIC
Category 634 - Residential - Service Change
Service p New O Change° 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 11/20/0003 Type Service Inspector Jon Fischer t approved
Faxed request
11/5/03 faxed in
11/10/03 mailed in
Date/Time requested: 12/04/2002 01:17 PM Notice Type: Phone Number: 235 -5672
Access:
Ready Date/Time: 12/04/2002 01:17 PM Requested by: WITZKE ELECTRIC -Tim
0 Reinspect Fee 0 Fee Wavied Reinspect Fee Paid