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HomeMy WebLinkAbout0099556-ElectricOSHKOSH ON THE WATER Job Address Contractor Service Volts 256 W 17TH AVE WITZKE ELECTRIC [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner SYNDA J JONES Category 612 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 1 Switches 0 No 99556 Create Date 01/14/2003 Plan ~ Underground Fixtures Receptacles Appliances Dishwasher Use/Nature of SFR/Installing 2 kitchen GFR & wiring for new dishwasher. Work Fees: Valuation Issued By: $360.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 01/22/2003 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 WITZKE ELECTRIC ELECTRICAL PERMIT APPLICATION All information after bold catel~ories must be provided. Incomplete alrplications will not be processed. NO.415 P.£/3 ©/½KO/H ON ?HF · Application(s) and fac(s) can be brought to City Hail, Room 205 or mailed to Inspection $,ervices, PO Box 1128, Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees being doubled or $100,00 plus the normal permit fcc, which ever is greater. OR ff voU are a contractor pa~ttcipa~ing i~ tie Perm~,,..~Fee Ac~pnt System and ia~,_e_ adequate_fun_d_~, check Aere lf~vo~t thiS-°roces~ed_throu~h, v. oUr accoun~ ~ oAxr, ,./~ ao - 0,3 JOB ADDPJ.~$ ~ I ' CHECK [] ALL APPLICABLE eTEGORY Family ClDuplex ClMuld-Famil¥ SERVICE ~ew ~T~pora~ ~angc ~ot Applicable ~Rcntal TYPE FILL IN Tl~ APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Phase Amps Switches # [Z]Commercial r"ltndustrial ElOverhead [Sl~pplicable DUnderground Ch'cults #. F/xmres # CHECK [] ALL APPLICABLE C]Rans= ~washer ClGarbage Disposal ClDryer CIWat~r Heater CIFan OR. Blower I-IFumace ~A/C ClElectric Siga 5]Motors moas Pumps r'lot~ DESCRIPTION OF ALL WORK, BEING DONE, VALUE (Including labor and MASTER ELECTRICIAN