HomeMy WebLinkAbout0102995-Electric (receptacles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
1495 W SOUTH PARK AVE Owner
WITZKE ELECTRIC Category
~ New (~) Change O Temp
Amps 0
NOR-AM INC
643 - Commercial-Addition/Remodels
Type O Overhead
Circuits 0
Switches 0
No102995
Create Date 07/21/2003
Plan
_~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Americ-lnn/Install 2 recps.
Work
Fees: Valuation
Issued By:
$280.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 07/22/2003
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Address PO BOX 102 155 E PACKER AVE
Agent/Owner
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.
SUL. 18.~3 ~:51PM WITZKE ELECTRIC
City of O~hkosh
Di','i~ion of ~pe~en Services
~,0. Box 1
Oshkosh, WI
Phone (920) 23~-$050
Pax (~20) 236~054
HO. ~30 P. 1/1
ELECTRICAL PERMIT APPLICATION
All ~formation after bold categories must be provided.
Incomplete applications will no~ be processed.
· Application(s) and fee(s) can be brousht to Cit~ l"lall, Room 205 or mailed to Inspection Services, PO Box 112g.
Oshkosh WI '54903-1128. Cornr~nclng work without permit(s) will result in fees 'x/ns doubled or $100.00 plus the
normal perm/t/'ce, which ever is ~reater,
OR
~ P /t e~ out $ t a crv de te £und ~c e
Clt~CK [~ ~ -,KPPLICABLE
USE CATEGORY
E3$insIe Family ~Duplex
SERVICE
QChange
IZlMulti-Family
[~Temporary
I-INet Applicable
FIRentat /~mmercial nIndustHal
TYPE r'lOverhead ~Not Applicable
~Under~round
FILL IN TI-IR APPROPRIATE BLA.NK ~ITH THE ~
Volts. [ Receptacles #, ~
Phase
Amps Switches ~
Circuits
Flxto res #,,
CI~!iCK ~ ALL ~PLICABLE
IZ1Rans~ ~Dishwesher l~Oarbsee Disposal
E1Fan OR Blower IZlFumace [~,a,/C '
'EIMotors ~Gas P. umps ~Other:
DI~$CR,II~TION OF .aJ~L WORK, BEING DON~
~Dryer nWater Heater
~IEI~c~c Si~
~. ' VAL'U'E (Including labor and all e
' ~IAsTKR ELECTRI~