HomeMy WebLinkAbout0098573-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1675 GLENWAY DR
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JANICE LEONARD
Category 634- Residential-Service Change
Amps 100
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 98573
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
NO¥. 12.2002 !0: S2AM
P.O, Box 1I~0
Os~os~ W! M~O34L~O
Fax (920)
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold categories taus! be l~rovided,
In¢orr~Ict~ applications will nm be processed.
1'10.763 P.5/9
· Application(s) md fee(s) can be brought to City Hall, Room 205 or msiled to Iaspection Services, PO Box 112~,
Os~sh WI $a903-1128. Commencing work ~thour pe~ir(s) ~I1 result in fees b~ing doubled or ~100.00 pl~ ~e
n~al pe~t tee, which ev~ is ~eater.
OR
~f v~re a contractor participating, tn ~l~e ~ernt~ F~ Account System and have adeouare funds, ~h~q~. ~er~
if vou want th~ processed t~rough ye. ur accpttnt~
CHECK g ALL APPLICABLE
USE CATEGORY
[l~kSingle Family DDuplex r"lMulti-I:amily
SERVICE EINew ElTcrnporary
JiilChange IElNot Applicable
vtR. cntal
EICommeraial UIIndustriai
Overhead ~Not ApplicalMc
~}~Underground
FILL IN THE gPPROPRIAT£ BLA.NK WITH THE
Volts __/,,X · / . 3 "~ O Receptacles #_ Circuits #
Phase.
Amps _ /O'~ Switches # Fixtures #
Ct~c~ I~ ALL APPLIC.-t~LE
r~Rang¢ ~Dishwasher UGarhagc Disposal
E~Fan OP, Blower ElFumace UIA/C
[::]Motors []Gas Pumps ~Other
VA.LIj~ (Including labo~ and all
ELECTRICIAN
ElDryer EIWater Heater
fixtures) S