HomeMy WebLinkAbout0098572-Electric (service change) 0 CITY OF OSHKOSH No 98572 J ,e '�
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OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER D I% ,
Job Address 1679 GLENWAY DR Owner DAN SMIDL Create Date 11/12/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New 0 Change O 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/ Upgrade existing UG meter pedestal.
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 11/12/2002
❑ Permit Voided I
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.12.2002 10:52AM WITZKE ELECTRIC N0.763 P.4 /9
City of Oshkosh
Dn sion of Inspection Services D
P.O. Box 1130
Oshkosh, W154903 -1130 � � J
Phone (920) 236 -5050 � pR
Fax (920) 236-5084 f l.
ON WATER
ELECTRICAL PERMIT APPLICATION
All information after bold eategories 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 1 128,
Oshkosh WT '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
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JOB ADDRESS f� RR AA
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CONTRACTOR W l '!' zke E (t° dr l 17
CHECK Ed ALL APPLICABLE
&S U E CATEGORY
ingle Family DDuplex DMulti- Family C]Rental OCommerci I
a OIndustnal
SERVICE ❑New OTemporary TYPE ❑Overhead CTNot Applicable
Change DNot Applicable JffiUnderground
FILL IN THE APPROPRIATE BLANK WITH THE E
volts /a.6 / ;4 0 Receptacles = ..
Phase Circuits ,.
Amps f #
•
Switches � Fixtures r i�
CHECK 0 ALL APPLICABLE
4 OR Blower O❑F� her ❑Garbage Disposal ODryer DW ater Heater
QMotors 0 dElectric Si ❑Gas Pumps DOther
DESCRYpTION OF ALL WORISBEING DONE J
• -• r ma r te_ +
VALUE (Including labor and all m riai inel •
• fixtures) $
MASTER ELECTRICIAN IA a Wit I CAA
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2/02
Electric Permit Work Card
Job Address 1679 GLENWAY DR Permit Number 98572 Create Date 11/12/2002
Owner DAN SMIDL Contractor WITZKE ELECTRIC
Category 634 - Residential- Service Change
Service 0 New • Change() Temp 0 N/A Type O 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/ Upgrade existing UG meter pedestal.
of Work
Inspections:
Date 12/05/2002 Type Service Inspector Jon Fischer approved
Faxed request
11/6/03 called in
11/10/032 mailed in
Date/Time requested: 12/04/2002 01:17 PM Notice Type: Phone Number: 235 -6572
Access:
Ready DateTme: 12/04/2002 01:17 PM Requested by: WITZKE ELECTRIC -Tim
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid