HomeMy WebLinkAbout0098574-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1673 GLENWAY DR
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner NORMAN HUDSON
Category 634- Residential-Service Change
Amps 100
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 98574
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
NOV.12.2002 10 :52AM WITZKE ELECTRIC NO.763 P.6"9
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 549031130 1 Rk
Phone (920) 236 -5050 p R
Fax (920) 236 -5084 Of 1K0./
ON -NP w.tes
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 per;nit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater.
OR
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DATE ilqp"1
JOB ADDRESS /!p I ]3
OWNER_ All Sea K ^ eS. 1l do Me e r k
CONTRACTOR W l + z.ke. I� L'"� r j G - �•+1 C .
CHECK Ed ALL APPLICABLE
USE CATEGORY
la/Single Family !Duplex !Multi- Family CIRental !Commercial Dlndustrial
SERVICE New C1Temporary TYPE ❑Overhead !Not Applicable
, Change !Not Applicable ;Underground
FILL IN THE APPROPRIATE BLANK WITH THE i\VMB R
Volts _ /a 6 / 0 Receptacles
Phase ►, Circuits
Amps / h
Switces #
• Fixtures
CHECK Ea ALL APPLICABLE
Mange ODishwasher ❑Garbage Disposal
❑Fan OR Blower !Furnace D,�C A sP DElect DWater Heater
CMotors ❑Gas Pumps pother Elcctric Sign
DESCRIPTION OF ALL WORK DONE URN (4. " 44 i ; n
.te - +
V ALUE (Including labor and all m 'al - incl • fixtures) 5 Sc?d
MASTER ELECTRICIAN 1 4414 16 P - ' '3.4.4 MA ��
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