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HomeMy WebLinkAbout2002-Electric (exhaust fan)OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Job Address 723 POWERS ST Contractor WITZKE ELECTRIC Service ~ New (~ Change O Temp Volts Amps 0 Owner Category Circuits Switches STEVEN L/GUDRUN HEMMINGHAUS 612 - Residential-Single Family Addition/R Type O Overhead 0 0 No 98893 Create Date 12/04/2002 Plan (~) Underground Fixtures Receptacles Appliances Fan or Blower Use/Nature of SFR/Wiring for bathroom exhaust fan. Work Fees: Valuation Issued By: $200.00 Plan Approval $0.00 Permit Fee Paid [] Permit Voided J $20.00 Date i2/04/2002 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 PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920-235-6572 DEC. 4.2002 10: 1SAM D~v~o~ of Im~tio~ P.O, S~x 1130 ~osK WI ~4~03-1130 ~ax (~0) ~3~-~0~. WITZKE ELECTRIC ELECTRICAL PERMIT APPLICATION Ali information afmr bold categories must be provided. Incomplete sppli=a~iom will not be processed. N0.968 P.1/1 O/HKO7 ON TI~ WAT~ · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO BOx 1128, Oshkosh WI 54903-I I28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If_you ar~ ~ ro~t~r~ctor l~ar~te~olf.~ I~ lhe lO#rinSe A~oulft $~tem end ~va ad~cate func]~ check ]~ere 3 , .,,, CHKCK ~ ALL APPLICABLE U :~n~eTEGORY ~" Family [~Duplex ElMulti-Farnily ~Rental ~Comrnercial r3Indus~al SI~RVICR ~New ~Tc,m~orary TYPE E~Overhead l~r~pplioabl¢ ClChangc ~Applicable ClUnderlFound FILL IN THR APPROPRIATE BLANK WITH THE ~ Volts / .., ReceptaCles # Circuits # Phas~ Amps__ Switches #_ _ Fixtures # CHRCK lg ALL APPLICA.BLE I;R ODishwasher ElOarbage Disposal ClDr~cr Blower OFum~c r'lA/C ClElectric Si~n [2Motors rlOas Pumps l~Other DRSCRIlVl'ION OF ALL WORI~BEING DONE_ - ir&.~, , ElWster Heater '-, VALUR (lncludln~ lsbor nnd all MA~ER IiI,RCTRICIAN