HomeMy WebLinkAbout0098863 EOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1907 JACKSON ST Owner
Contractor WITZKE ELECTRIC Category
Service ~) New (~ Change (~ Temp I
Volts Circuits
Amps 0 Switches
JEFFREY J/JAMES JACOBSON
643 - Commercial-Addition/Remodels
Type (~Overhead
0
0
No 98863
Create Date 12/02/2002
plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of IACOBSON AUTO SALES / Provide & install parking lot lighting & receptacles.
Work
Fees: Valuation
Issued By:
$11,000.00 Plan Approval $0.00 Permit Fee Paid $183.00
Date 12/02/2002
:r--~ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
DEC. 2.2002 10:04AM
D~vi~ion of ~nspection Services
P,0. Box 1130
HITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
,Ali informefion after bold c~cgories must be pmvidecL
Ia~omplcte applicatio~ will no! be pro~¢ssed,
N0.935 P. 1/1
· Application(s) and fee(s) can be brought to City Itall, Room 205 or mailed to Inspection Servioes, PO Box 1128,
Oshkosh WI *$4903-1128. Commencing work without permit(s) will r~sul! in fees bemi doubled or $]00.00 plus thc
normal permit fee, which ever is stealer.
OR
i~OU ~tnt ttti$ vro~e~f~d thro_ugh_ your account ~
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Sinsle ~Family
SERVICE ONew
r'lDuplex l-lMulti-Family
licable
l~RentaI
~o~ereial OIndustrial
TYPE 0 Overhead
I'lUnd~rstotmd
[~N~ff'Applicable
FILL IN THE APPROPRIATE BLA!VK WITH
Volts / , .. Receptacles #. ~ Circuits ii_ 3
Phase ' '
Amps _ Swttehes ~_. .... Fixtures # ~_.
Ci~CK [~ ALL APPLICABLE
~Ra~ie r'lDishwasher OGarbase Disposal IDDrycr ElWater Heater
EIFan OR Blower KlFurnace r'IA/C EIEleotrie
~Motors r'lGas Pumps I'lO~er
D~sca~.~o~o~woa~;r~o~ .'?,...,,~..,. ~,~t~_ll, ?..,~'.,.~
_ - ~ 9t' . ~ - ' '
VAtL'[ll[(lachldin~laborandallm ttt~i~ifl.el~,:+ifixttlres), ,/; .~_~" ..
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