HomeMy WebLinkAbout0098571-Electric ( upgrade) 0 CITY OF OSHKOSH No98571 /61x 6
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
(7 ova
ON THE WATER Al.r
Job Address 1708 GLENWOOD DR Owner GERALD WALLACE 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/ 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
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
NO. P.
NOV.12.2002 10:52AM WITZKE ELECTRIC
City of Oshkosh
Division of Inspection Services
P.O. Box 1130 � \0
Oshkosh, WI 54903 -1130
phone (920) 236.5050
Fax (920) 236-5084 Q H OSH
ON TM6 WATD
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
• • r • c •ntra t• r . arricf • 'tin- , r,,, • counr S and have ad . f . . check here
ff you want this pro thrpv h your account ►R
// }} DATE ll - /a -o a
JOB ADDRESS 11 o g ere
OWNER All So A4.4 •.'1 es. : , ) vlPtt 4
CONTRACTOR vJ i t zke
CHECK H ALL APPLICABLE
14E CATEGORY
I ngle Family !❑Duplex DMulti- Family ORental 0Commercial dlndustrial
SERVICE ONew ❑Temporary TYPE ❑Overhead QNot Applicable
p1Change ONot Applicable Underground
PILL IN THE APPROPRIATE BLANK WITH THE =M
.
Volts /10 / 24 O Receptacles # Circuits #
Phase 1
Amps - /fro Switches # Fixtures #
CHECK PJ ALL APPLICABLE
G7Ran e
g DDishwasher ❑ p C bage Disposal ❑Dryer ClWater Heater
Fan OR Blower DFurnace DEiectric Sign .
❑Motors CI Gas Pumps OOther
DESCRIPTION OF ALL WORK DONE . 4
g a.� i r1
1 r A V
VALVE (Including labor and all t rial ind . ng 0 - , fixtures) $ S
M ASTER ELEC TRICIAN . s Ml i .aa� '3&4 ( }
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3/02