HomeMy WebLinkAbout2002-Electric (Receptacles)OSHKOSH
ON THE WATER
Job Address 1402 WALNUT ST Owner
Contractor WITZKE ELECTRIC Category
Service ~) New (~) Change (~ Temp I
Volts Circuits
Amps 0 Switches
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
ALAN J/KAREN J SWISHER
612 - Residential-Single Family Addition/R
Type (~ Overhead
1
0
No 99198
Create Date 12/26/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of ;FPJ Provide and install 2 additional rec (bath & living room).
Work
Fees: Valuation
Issued By:
$150.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 12/26/2002
[] Permit Voided ]
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
DEC. 20.21~F~ 2: 34PM
City of Oskkosh
Oa~osh, ~ 5~903.1130
Pho~ (920)
Fa~ (~20) 236-5084
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All iu/orma~iou after bold categories mus~ be provided.
Incomplete applications will not be processed.
N0.165 P.3/3
O/HKO/H
ON THF WATSg
Applicalion(s) and fee(s) can bc brought to Ci~ Ball, Room 205 or mailed to Inspection Services, ?O Box I 128,
Oshkosh WI 54903-I 12K Commcmcin8 work without permit(s) will resull in fees bein$ doubled or $100,00 plus the
normal permit fec, which ever is/rester.
OR
lt'vou are. a contracxo3t, parricivating i~ th~.P, lr_rn.it Fe~ Account Swt~m and hayfl_adea_uate_fund~, check here
if you want I~i~ t~roce$~.ed throu~]i your aac. att~ []
DATE
CHECK I~ ALL APPLICABLE
mglATEGORY
c Family ElDuplex I-lMulti-Family
SERVIL'~ ElNew 1ZlTe_.glporary
EIChange [~6t Applicable
~Rcntal C]Conuuercial ~Indusu-/al
TYPE CIOverhcad [~'~ppticabl¢
~Under/round
FILL IN ~ AYPROPRIATE BLANK WITH THE ~
Volts ..... / Receptacles # _~, . Circuits #.
Phase
Amps Switches #. Fixtures #
CHRCK ~ ALL APPLICABLE
EIRange UDishwasher [~Oarbagc Disposal ElDryer ~Water Heater
ElFan OR. Blower C1Furna~e r'IA/C EIElectric Sign
5]Motors ElCras Pumps []Other
DESCRIFTION OF AJ~L WOR~BEING DONE