HomeMy WebLinkAbout0099062 EOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 377-387 N WESTHAVEN DR Owner
Contractor WITZKE ELECTRIC Category
Service ~) New (~ Change O Temp I
Volts Circuits
Amps 0 Switches
SECURITY INVESTMENTS
633 - Residential-Multi-Family Addition/Re
Type (~ Overhead
0
0
No 99062
Create Date 12/11/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of VIULTI-FAMILY/ RENTAL/ 383 N Westhaven - Apt F-102/Add receptacles.
Work
Fees: Valuation $100.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By:
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.11.2002 12:lGPM
~y of
Division oflmpcction Services
Oshkos h, WI 54903- I 13 0
Ph~e (920) 236-5050
Fax (g20} 236.5084.
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ail reformation after bold categories taus! be provided,
Incomplete applications will not be processed.
N0.048 P,2/2
Y'HKO./'H
ON TN~ WATER --
· Application(s) and fee(s) ;an bc brought to Cffy Hall, Room 205 or ma/led to Inspection Sa-vices, PO Box 1128,
Oshkosh WI '54903-1128, Commencing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal parfait fee, which ever is greater.
OR
l_/'3azu_ate_a contractor t~artictpatln~ i~ the P~.rmit Fie ~ccaunt System and Aave adequale £un~
If volt want tMs proc.~z~ed th.rou~l~ vour.ac_e'-a u~nt_~' -
CO Te,*CTOR Wi+zke. Elacq'rLa,' ':' ....
CHRCK [~ ALL APPLICABLE
USE CATEGORY
I"iSingle Family
SERVICE ONew
r'lDuplcx ~Multi-Family
OTemporary
~Not Applicable
~Rcntal OCommercial Olndusu'ial
TYPE I'lOverhesd "~ot Applicable
rlUndcrground
BILL IN THE APPROPRIATE BLA~K V~ITH Trill.
Volts / Receptacles
1)h~se
Amps Switches ~.
Circuits
Fixtures
CI~CK I~ ,4~L~ APPLICABLE
ORange ~Dishwasher r'lOarbage Disposal ODrycr
~Fan OR Blower 1DFumace IiIA/C ~Eleclric Sign
ElMOtors ~Oa,s Pumps []Other
[2Water I/cater
,, VALLTIg (Including labor and all m ,t, IlS lit fixtures)
DEC.11.2002 12:15PM NITZKE ELECTRIC NO.O4B P.1/2
Residential, Industrial end CommerGial Irmtnll&tlonG
15S E. Pa~er Avenue Post OffiGe Box 10~
Phon~ (820) 235.8572 F)3C (g2i)) ~35.658Z
FAX COVER SHEET
DATE: /,~~
COMPANY: City of Oshkosh
Collections
ATTENTION:
TIME:
PHONE:
FAX: 236-5084
FROM: Vesta Burns
REFERENCE' Electrical Permits
PHONE (920) 235-6572
FAX (920) 235-6582
NUMBER OF PAGES, INCLUDING COVER SHEET'