HomeMy WebLinkAbout2002-Electric (sign)!1
OSHKOSH
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1175 S WASHBURN ST
Contractor WITZKE ELECTRIC
Service ~ New ~) Change O Temp
Volts
Amps 0
Owner MICHAEL L STRATZ
Category 643 - Commercial-Addition/Remodels
j Type
Circuits 0
Switches 0
Overhead
No 98683
Create Date 11/18/2002
Plan
Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/1179 - Dominos Pizza/Rewire new sign & hang new replacement dusk-dawn.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval $0.00
Permit Fee Paid
[] Permit Voided
$20.00
Date 11/18/2002
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 PACKERAVE OSHKOSH WI 54903 - 102 Telephone Number; 920-235-8572
City of Os~osh
Divisfot~ oir Inspection
P.O. Box 1130
Oshkosh, WI ~4!~03-1130
Phone (920)
Fax (920)
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ali information after bold ;ategories mus~ be provided.
[n~mpl=te applications will not be pro~esse6,
H0.821
ON Tl'~f WAT~;R ---
· Application(s) and fee(s) can b= brought =o City Hall, Room 205 or mailed m la~peetion Se~¢es, PO Box 112g,
Os~sh ~ '5~903-1 ~ 28. Co=mc~8 work ~the=t pe~it(s) ~]] reset ~ fees ~S doubled ~ $100.00 plus thc
no~] ~t fee, which ~ver is ~.
O~
~ou are ~contra~tor ~a,ticioatfnz t~ the P~rm~t Fie .account ~,~tem and ~a~e ad~ale ~unds. chec~ herz
ff v~want t3ts ~r~e~ed th rou~h your agco~
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co croa J i+ Elaa+n'c
DATE__//" !
CIIECK [] ALL APPLICABLE
USE CATEGORY
12Single Family
SERVICE ONew
DChang~
IDDuplex ~Mul~i-Family
plicable
ORental ~ommercial Ellndustrial
TYPE ElOwrhcad t~'~ot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH TKE
Volts / Receptacles
Phase
Amps_ __ Switches #.
Circuits #__
Fixtures #,
CHECK ~ ALL APPLICABLE
I~Range ODishwaaher ClOarbage Disposal E]Drycr l~Water Hcater
[~Fan OR Blower E]Furaace OA/C r~Electvic Sign
[3Motors ElOas P',unps ~Other
all m~t~ It fuck ng lfg,: fixtures
(Including labor and
MAS'fElt ELVi."rRICIAlV
2/o2
~ NOV. 15.2002
~: 05PM
WITZKE ELECTRIC
M0.821
P. 1/2
Residential, Ihduotrlal and ¢ommemia! pneta#atlorm
1SS E. PaGker Avenue Post Office Box 102
Oshkooh, W'~oon~ifl .~4~03-0~ 02
Phone (9~0) ~.35-65'/2 FAX (O~O)
FAX COVER SHEET
COMPANY: City of Oshkosh
Collections
ATTENTION:
TIME:
PHONE:
FAX: 236-5084
FROM: Vesta Bums
REFERENCE: Electrical Permit~
PHONE (920) 235-6572
FAX (920) 235-6582
NUMBER OF PAGES INCLUDING COVER SHEET'