HomeMy WebLinkAbout0098567-Electric (meter socket) ie CITY OF OSHKOSH No98567 G PNNF�,
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD � v°
ON THE WATER OA"'
Job Address 972 E SUNNYVIEW RD #19 Owner KEITH WOLFENBERGER Create Date 11/12/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service p New O 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/ 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 goveming 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 :33PM WITZKE ELECTRIC NO.729 P. 8/10
City of Oshkosh
Division of Inspection services QED
P.O. Box 1130 I ot o'
Oshkosh, W154903.1130
Phone (920) 236.5050
0!"-." Fax (920) 236.5084 uu p?
Il
F A nA
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
a •,r • •r • • r' • • in' i h • rmit P e • r Srstem and haue adeouate funds. chgek here
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CONTRACTOR VJ i + zke C'..P1 C
CHECK gf ALL APPLICABLE
USE CATEGORY
Ringle Family =Duplex ❑Multi- Family DRental :I Commercial 0Industrial
SERVICE jElitvew DTemporary TYPE DOverhead ONot Applicable
DChange DNot Applicable prUnderground
FILL IN THE APPROPRIATE BLA I:. w1TB THE NUMBPR
Volts (.'O / .yo Receptacles _ Circuits #
Phase /
Maps /48p Switches # Fixtures #
CHECK el ALL APPLICABLE
D Range ❑Dishwasher DGarbage Disposal DDryer DWater Heater
❑Fan OR Blower QFurnace DA'C DElecuic Sign
Motors DGas Pumps pother
DESCRIPTION OF ALL WORK,BEING DONE ''r • _
t Y , _
VALUE (Including labor and an m t al istcl • ng Ii • fixtures) $
M ASTER ELECTRICIAN j 1 �,�{ r r � ; -� - e
2/02
Electric Permit Work Card
Job Address 972 E SUNNYVIEW RD #19 Permit Number 98567 Create Date 11/12/2002
Owner KEITH WOLFENBERGER Contractor WITZKE ELECTRIC
Category 634 - Residential - Service Change
Service 0 New 0 Change O 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 11/05/2003 Type Service Inspector Jon Fischer l 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 -6572
Access:
Ready Date/Time: 12/04/2002 01:17 PM Requested by: WITZKE ELECTRIC -Tim
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid