HomeMy WebLinkAbout0099142 EOSHKOSH
ON THE WATER
· lob Address 1018 W NEW YORK AVE
Contractor WITZKE ELECTRIC
Service ~) New O Change O Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner
Category
Circuits
Switches
FRANCIS M KOERWITZ
612 - Residential-Single Family Addition/R
Type (~Overhead
0
3
No 99142
Create Date 12/19/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Kitchen area remodel and code Violation repairs.
Work
Fees: Valuation
Issued By:
$2,100.00 Plan Approval
$0.00 Permit Fee Paid $75.00
Date 12/19/2002
[] 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
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
~ DEC.17.2002 ll:00AM
NITZKE ELECTRIC h~).l14 P.374
ELECTRICAL PERMIT APPLICATION
All infon~ion after bold categories nu~t be provided.
Incomplete application~ will not be processed.
· Application(s) md fee(s) can bc bro~sht m City Hall, Room 205 or mailed to Inspection Services, ?O Box 1128,
Oshkosh WI '54903-1128. Cornm~cing work withou~ permit(s) will result in fccs beinl doubled or $ 100.00 plus thc
no:mai pcrm/t fee, which ¢ver is ~eater.
OR
(f=v_o,u want tkL~rocessed r_hraug.~ v our a cc_aJt_nt~ DATE
I
C~,.CK vi ALL APPLICABLE
USE CATEGORY
~/[[Single Family l'tDuplex t'lMulfi-Family
SERVICE ETNew ~Ternpo~ry
I'lChimgc ,~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE
Volts ...... / Rec~p/scles #
Phase
Amps SwiShes #,,
[2Commercial r'llnduslrial
rlOverh=ad ,]~m Applicable
51Under/rourld
Circuits #.
Fixtures #
CIIECK B ALL APPLICABLE
r'l~ngc I'lDishwasher
ElFan OR Blow=' r'lFurnac¢
~lMotors ElGas Pumps
5GarBaie Disposal
DA/C
ElOihcr ,,
ClDryer UWater Heat~'
/2ElccU'/c Sign