HomeMy WebLinkAbout0099287-Electric (central vacuum system) 0 CITY OF OSHKOSH -67,4i-
SHKOSH No99287 5
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OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER -47E
Job Address 1332 MONROE ST Owner OSHKOSH HOUSING AUTHORITY Create Date 01/03/2003
Contractor WITZKE ELECTRIC Category 643 - Commercial- Addition /Remodels Plan
Service Q New Q Change Q Temp Type Q Overhead 0 Underground
Volts Circuits 3 Fixtures 0
Amps 0 Switches 0 Receptacles 6
Appliances
Use /Nature of COMM/ Wiring for central vacuum system.
Work
Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: Date 01/03/2003
0 Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920 - 235 -6572
DEC.31.2002 4 :00PM WITZKE ELECTRIC N0.230 P.3 /3
City of Oshkosh
Division of Inspection Services �GA� �®
P.O. Box 1130 FEB � g
Oshkosh, WI 54903 -1130
Phone (920) 236 - 5050
-- Fax (920) 236-5084 CJHVQI'
•• ON TMF WATER �
ELECTRICAL PERMIT APPLICATION
All infbrmation 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 permit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater.
OR
1 a .n • _ ,r .art • !arfn• • Permit co t -, • •e•uate the . ere
if you want this processed through vo •r a coz.n, D
DATE 17- • 3 4 ° a
JOB ADDRESS / 3 3 a (".o Ado e "L
Ow'NER, M--... iA..m ck", S m Gad S &J . ' J t c.e s
CONTRACTOR W t+ z,k• E le.C+ri G 1 C.
•
CHECK 1I ALL APPLICABLE
_ USE CATEGORY �/
❑Single Family °Dupl OMulti Family ORental BCommercial Olndustrial
SERVICE °New DT porary TYPE Overhead 12111 Applicable
❑ of _Change Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBE1
Volts / Receptacles # dv Circuits #
Phase
Amps Switches # Fixtures #
CHECK ® ALL APPLICABLE
ORange °Dishwasher OGarbage Disposal °Dryer °Water Heater
❑Fan OR Blower ❑Furnace QA/C ❑Electric Sign
DMotors °Gas Pumps D0ther
DESCRIPTION OF ALL WORIC t G DONE -
- (' ■ _ ■ r _ ' P
C OW � -
VALUE (Including labor and all m , fixtures) S ,00 .o.v.
MASTER ELECTRICIAN i s am VIP P
i ill 941-4;04 O 3/02