The URL can be used to link to this page

Home My WebLink About0099197-Electric (receptacles)OSHKOSH ON THE WATER Job Address 544 MOUNT VERNON ST Contractor WlTZKE ELECTRIC CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Service ~) New O Change O Temp Volts Amps 0 Owner PATRICK M NEMECEK CategOry 623 - Residential-Duplex Addition/RemodE I Type O Overhead Circuits 0 Switches 0 No 99197 Create Date 12/26/2002 Plan (~) Underground Fixtures Receptacles Appliances Range, Furnace & Dryer Use/Nature of Work )UPLEX/Install six 110v rec as required, furnace sep circuit, dryer rec & range rec Fees: Valuation $1,225.00 Plan Approval $0.00 Permit Fee Paid $60.00 Issued By: Date 12/26/2002 [] 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 OSHKOSH WI 54903 - 102 Telephone Number Address PO BOX 102 155 E PACKER AVE 920-235-6572 DEC.20.2002 2:34PM NITZKE ELECTRIC ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. InComplete applications will not be processed. NO.165 P.2/3 ©ZHKO/H · Application(~) and fee(s) can be brought ~o City Hsll, Room 205 or mailed to Inspcmion Services, PO Box 1 Oshkosh WI '54903-1118. Commencing work without p~mit(s) will result in fees being doub|¢d or $100,00 plus norn~ permit £ce, which cvcr is OR ~_f. yau~tre a~contractOr oartlcivattng t~ the Per, mtLE~ ~ccount Svstam and have adequate[und,~,.~tte_ciber~. ff,,you want this ;~roees~d through your a,eco_uttx [] so n Da ss ,5'4'/ C..R~..CK [] AI.I. APPLICABLE USE CAT~GORY ~ OSingl¢ Family ElMulti-Family SRR~CE ~New ~T~or~ ~gc ~o~ Applicable []Rental []Commercial []Industrial TYP~ [~Overhead E~ot Applicable r'lUnderirotmd FILL IN THE APPROPRIATE BLANK WITH THE N'UMBER Volts / Receptacles # CireuRs # Phase Amps, Switches # Fixtures #. C~-CK ~ ALL APPLICABLE ~ngc ~D..~washcr ElOarbage Disposal E~er EIWa~r Heater []Fan OR Blower l..~urnace r-]A/C OBI¢c~c Sign I"lMotors F1Gas Pumps r'lOthcr VALIYE (Inol~ding labor and all m,, MASTER ELECTRICIAN .............