HomeMy WebLinkAbout0099412 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1350 S WESTHAVEN DR
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner TERRANCE J CINOTTE
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 0
No 99412
Create Date 01/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Furnace & A/C.
Use/Nature of SFRNViring for gas furnace & a 3T a/c system.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 01/09/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
JAM. 8.2003 3:~gPM
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ali information after bold cate$ories must be provided.
Incompbte applications will nut be processed.
H0.305 P.3/3
O.,f OfH
ON TWP W~T~"~
^pplbatiort(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, ~ Box 1128,
Os~osh WI '54~3-1128. Coercing work ~thout p~s) ~11 ~ult in fees ~ing doubled or $100.00 plus
~1 pe~i~ tee, w~ch ev~ is gcat~.
OR
lf vo~e a conrra~rar ~articinatlne t~ th~rmit Eec Jccou~vstem. and have ~deouate_fu~eheck here
want this ~ro~e~ed throu~h-~our account ~
CHECK RI ALL APPLICABLE
TEGORY
Family r'lDuplcx ElMulti-Family
SERVICE r'lNcw I"lTem~9orary
I-IChang~ ~- Applicable
[2Rental
TYPE
ElCoramercial Dlndustrial
r]Overhead 12]'l~Applicable
ElUnder~round
FILL IN THE APPROPRIATE BLANK '~rITH THE C~. BER
Volts . _ _ ! Receptacles
Phase
Amps. Switches ~,
Circuits # ~
Fixtures #
CHECK ~[ ALL APPLICABLE
I~l~nge ~Diskwasher I-IGat,~t~gc Disposal ~]Dryer ElWster Heater
E1Fan OK Blow~r [~r~aoc ~ EIEleclric Sign
F'iMotors r'lOas Pumps POther
DESCRIPTION OF
VALUE (lncludina labor and all tn
I~IASTER ELEC'r~CIA~
Ii
ti, ures) $,.
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