HomeMy WebLinkAbout0098577-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1665 GLENWAY DR
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HERBERT/ANN GOSDECK
Category 634- Residential-Service Change
Amps 100
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 98577
Create Date 11/12/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of MOBILE HOME/Upgrade existing UG meter pedestal.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
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
MOV. 12.2002 10: S2AM
Dive,on oflm-~m~cu
P.O, ~x I1~0
Os~osh, WI $490~.1130
Fax (9~0) 23~.50~
WITZKE ELECTRIC
NO.763 P.9/9
ELECTRICAL PERMIT APPLICATION
Ail information after bold categories mu~t bc provided,
Incomplete applications will not be processed,
Application(s) and fe~(s) ~ be brought to Ci~ Hall, Room 105 or miil~d to ~spec~ Semces, PO Box 11~S,
Oshkosh ~ 54903.1 ll~. Co~encin~ w~k wi~hou[ p~t(s) will reset in fees ~ins doubled or ~I~,00 plus
no.at pe~ fee, which ~ver is ~a~er.
OR
CHRCK [] ALL APPLICABLE
USE CATEGORY
[~Single Family
SERVIcIi; EINew
~i][Change
[]Duplex ElMulti-Family
ClTcmporary
C1Not Applicable
rnR-cntal EICommercial ElMdustrial
TYPE L'lOverhcad ElNot Applicable
~[Und~ound
FILL IN THE APPROPRIATE BLA.N'K
Vol~ ~O Receptacle~
Phase_
Amps _ Switch es
~Garbage Disposal
I~Othcr ~
Circuits #
Fixtures #,
EiDryer
DEtect'tic Sign
~Water Heater