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HomeMy WebLinkAbout0099288 EOSHKOSH ON THE WATER .lob Address 1750 S WESTHAVEN DR Contractor WITZKE ELECTRIC Service [~ New (~ Change Volts 120/240 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner DOUGLAS/ELAINE BESSETTE Category 634- Residential-Service Change Amps 100 ~) Temp Type I~ Overhead Circuits 0 Switches 0 No 99288 Create Date 01/03/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/Relocate UG meter socket - resulting from broken WPS wire. Work Fees: Valuation Issued By: $715.00 Plan Approval $0.00 Permit Fee Paid $35.00 Date 01/03/2003 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 JAN. 8. 8883 4: O~PM Ci~ of O~hko~ Dtvisio~ o~on B.O. Box 1130 P~n~ (~20) 235-~0~0 Fax (920) 23~f0~ WITZKE ELECTRIC ELECTRICAL PERMIT APPLICATION All/n/'onmtion eft~r bold categories must be prov/ded. Incomplete applications will not l~ processed. ND.£41 P.a/8 ©../HKOZ ON TI'il= WATER · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1125, Oshkosh WI '5,1903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal pen'nit fee, which evcr is greater. OR If voJ~_are a c~ntractor parti~.f_J~atin~ t~ the t~ermit Fe~ Aacount $_l!$tem and Aave adeauate futtd~, ct~er2_ her~ (f_vou ~va]It thi~_ ~oce~d tl~rouglf your aceoun~ ~ ' co r cro _ +zke., 51e_6,-Fn6 C~CK !/I ALL APPLICABLE USE m~TE~e GORY I'lDuplex r~Multi.Family Family SERVICE [~% "ang ElTemporary r'lHot Applicable E]Remal [~Commercial [3Industrial TYPE _U~e_~head ONot Applicable I~'U~der~ound FILL IN THE APPROPRIATE BI.,A~K WITH THE ~ Volts /~,0 / ~ HO Receptacles #. Circuits # Phase [ Amps /~) Switches # Fixtures # CHECK I~ ALL APPLICABLE I-IRaagc I'lDishwasher l~Garbage Disposal ElDrycr OFan OR Blower KlFumace DA/C OElecirw Sign EIMotors CIGas Pumps [] Other__ r'lwater Heater WALl. rE (Including labor and all mt it, I~ ng Ifa,1fixtures) l_ ~ I ,~_'" '-r'v ,,. - 3/02