HomeMy WebLinkAbout0103784-Electric (receptacles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1044 JEFFERSON ST
WlTZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CHERYL A ROST
Category 812 - Residential-Single Family Addition/Ret
Type ICI Overhead
Circuits 3
Switches 0
No 103784
Create Date 08/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Provide and install receptaclesin livingroom, blue room and pink room.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 08/28/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
· ~UG.21,~OI~ 3:13PM
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold catesories must be provic~d.
Incomplete appliceitom will not be proccssed.
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, BO Box 1128,
Oskkosh WI '$4903-1128. Coram.ncing work without permit(s) ~I1 ~sult in f~s being ~oubl~ or $100.00 pl~ thc
noel p~t f~, w~ch ~ is
OR
l~ou ar~ a contra~partici~atine i~ the ~r~it Fee .4ccou~e
CHECK E ALL API~LICABLE
araiGORY
ly E]Duplex OMulti-Family
s,v vicx ONew
OChangc ~t Applicable
rlRental ElCommcrcial Olndustrial
TYPE FlOverhead [~o~ Applicable
OUnder~ound
FILL IN THE APPROPRL~,TE BLANK VFITH THE N[~IBER
Volts , / Receptacles #~
Phase
Amps , , Switches # _
Circuits #
Fixtures #
CHECK ~ ,~LL APPLICABLE
rlR~n~e ClDishwasher OOarbage Disposal ODryer
~lF~n OK Blower r'lFurnace 0~7C OEl¢ctric Sign
il]Motors ~Oas Pumps ElO~her
VALUE (Includlng labor and all m:
.%IA~:TER £LECTRICL~?/
0
IDWaterHcater