HomeMy WebLinkAbout0099486-Electric (misc. wiring)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1713 JEFFERSON ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LISA A COX
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 0
No 99486
Create Date 01/16/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install 1 rec - 1 porc & replace tube and knob with romex.
Work
Fees: Valuation
Issued By:
$455.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 01/16/2003
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
JAH. 1S.2E~3 1:44PH
City of Oshl~osh
Division of Ir~pection Servicea
P.O. Box l 130
Phone (920) 236.SOSO
Fax (920)
NITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All informatien after bold categories mus~ bc p~ovidec:.
Incomplete applications will not be processed.
I'40.366 P.3/3
· Application(s) end fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '$4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fcc, which ever is gre~ter.
OR ,
!f..EgU want this ~ro_ces~ed through your occ_o_~l,~
owlet__,, kl ~',. e._ ~, ~. ,
co c o _V/_ zke, E_L ria,
CI-I~CK 1~ ALL APPLICABLE
eTRGORY
Family E1Duplex ElMulti-Family
SERVICE ElNew E]Te_..mporary
UChange [Zl.l~t Applicabk
[]Retool
TYPE
~Commercial [] Industrial
~lOverhcsd
~lUndersrou~d
FILL IN THE APPROPRIATE BLANK WITH TH~
Volts / Receptacles
Phase --
Amps Switches #
Circuits ~, /
Fixtures # /
CHECK ~ ALL APPLICABLE
ClRanle CIDishwasher r'lGarbage Disposal ODryer r'lWater Heater
EIFan OK Blower ElFumac¢ [~A/C rlElcctric Sign
CIMotors r'~C-as Puraps 13Other-.
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