HomeMy WebLinkAbout0099028 EOSHKOSH
ON THE WATER
Job Address 523 E PARKWAY AVE Owner
Contractor WITZKE ELECTRIC Category
Service ~ New (~ Change (~) Tamp t
Volts Circuits
Am ps 0 Switches
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
BOYS & GIRLS CLUB OSHKOSH INC
643 - Commercial-Addition/Remodels
Type ~ Overhead
4
0
No 99028
Create Date 12/11/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Set pole & sub panel feed, 4 recps for truck heaters & OH triplex.
Work
Fees: Valuation $1,790.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $60.00
Date 12/11/2002
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 ~ 102 Telephone Number
920-235-6572
-DEC, 9,2~X32 12:54PM
City of Osl,.kosh
Divie~on of Impe~fion Scrvicee
P.O. Box ID0
O~osh, WI 5~90~.I 1~0
Phone (920}
WITZKE ELECTRIC
NO.0a4 P.2/2
ELECTRICAL PERMIT APPLICATION
All i.nt'ortllation after bold catc$ories must be provided,
Iacorrolete appli~afiom will not b: processed.
ON TH~ WATEI~
· Application(s) and fcc(s) oan be brought to City Hall, Room 205 or marled t.o Inspection S~rvices, PO Box 1 I28,
Oshkosh WI '54903-1128. Commencing work wi~out permit(s) will result in fees being doublccl or $I00.00 plus thc
normal pcrmi! tee, wkioh ever is greater.
OR
If you are a ~ol~t}'actor ~_a~'tiaJ~ating tn Permit F-~e 4~ount $~,~t~lz~ and kayo ttdeauttte fl{nde. CA~. her.!
- . the
if_yOu wt~t thi~ z)rocex$-e_~l through vou~ accou~/~ ' , -
n^TZ /a' &'
OWl~R ~~S~L~F~~~~
com croa_ //+ ke, Ela 'n'c 'nC. ' % ....
CHECK ~ ALL APPLICABLE
USE CATEGORY ~.
ClSingle Family ClDuplcx l::]Multi-Family CIRental i~omrnercial
SERVICE ElNew ElTcmporary TYPE ElOverhead
E]Change r'INot Applicable [2Underground
FILL IN TIlE APPROPRIATE BLANK WITH
Volts. ,, / Receptacle~
Ph~e '-
Amps _ Switches ~__
CItECK [] ALL APPLICABLE
12Industrial
~Not Appli,able
Circuits #_
Fixtures #
Y
ElRange E~Dishwasher ClGarbage Disposal ~Dryer 13Water Heater
[:lFan OR Blower O~'urnaoc E:]A/C EIElcctrie Sign
[:lMotors r'lons Pumps ~Other -.,
V.alJ..l.~ (Ineludlnt labor and al
MA$TER
.~ . ~DEC. 9.£002 1~:54PM NITZKE ELECTRIC N0.024 P.1/2
Reei~al, Industrial and Commemial Instsllitlo~
155 E, PeoKer Avenue Po~t Office Box 102
Oshk~h, Wiscor~in 54g0~-0102
Phone (g20) 2~-6b'72 FAX (g20) 23'J.eSl12
FAx COVER SHEET
COMPANY: City of Oshkosh
Collections
ATTENTION:
PHONE:
FAX: 236-5084
FROM: Vesta Burns
REFERENCE: Ele,ctrical Permits
PHONE (92{3) 235.6572
FAX (920) 235-6582
NUMBER OF PAGES, INCLUDING COVER SHEET