HomeMy WebLinkAbout0098575-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1669 GLENWAY DR
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROGER/LORETTA RUPIPER
Category 634- Residential-Service Change
Amps 100
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 98575
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
ttOV. 12. 2002 1{3: S2AM
'City o£ Os~osh
Os~os~ WI ~903-1130
Phone (920) 236-~0f0
Fax (gl0) 2~6-50~4
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applicado=s will not be processed.
N0.763 P.?/9
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result ia fees being doubled or $100.00 plus the
normal permit tee, which ever is greater.
OR
If .v_o_u__~e a com,ractoz ~art~ci~atfn~_ in the Perm~l Faf ,~cco_~nt System an# b~,a_adeauare funds, cieck her..
!£ You want tbls ~roc~ssed throu~l[ ),Our a~Co,un__~l~ --
DATE
CH~CK ~ ALL APPLICABLE
US,E. CATEGORY
II~mgle :Family IDDuplex CIMulti-Faraily
SERVICE CINew ElTemporary
~hange ClHot Applicable
~Renta!
T%'PE
~Commercial E]Industrial
ClOverhead ~Not Applicable
~'l. lnder..~ound
FILL IN THE APPROPRIATE BLANK 1%~TH TIlE
Volts Ja, e / ~'4 o Receptacles"
Phase
Amps i/OD Switches #
Circuits #_
Fi.~ures ~
CHECK [] ALL APPLICABLE
E~Range ElDishwasher [2Garbage Disposal CiD~er E~Water Heater
~F~ OR Blower ~Fum~e ~C ~Elec~c Si~
~Moto~ UO~ ,Pumps UOther
_
V~ (Including labor and all xtur~) $ ~ '
3/02