HomeMy WebLinkAbout0099654-Electric (wire a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 208
137 ALGOMA BLVD
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CONGREGATIONAL CHURCH
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 2
Switches 0
No 99654
Create Date 01/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances &/C
Use/Nature of COMM/Hook up 2 split system A/C systems.
Work
Fees: Valuation
Issued By:
$350.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/03/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
II
NITZ'I(E ELECTRIC
I't0.483
P.2/3
ELECTRICAL PERMIT APPLICATION
All infolmation after bold cate$orlcs must be provid~I.
Incompl~e applications will not bc processed.
ON TH~
· Applioation(s) and fee(s) can bc brought to City Hall, Room 205 ormailed to hspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Co~ing work without p~'mit(s) will result in fees being doubled or $I00.00 plus thc
normal permit f~, which eva' is great,r.
OR
]f you are a_{orttractar _v_arttetvating tn the P~.zrnit Fee ~4~¢ount S3,_$tr.m and lave__ndeauateJ'~nd$, check &ere
i£Vou want this t~ro_~sed tlirou~h your account ~
CHECK [] ALL APPLICABLE
USE CATEGORY
ElSingle Family [~Duplex
r'lMulti-Famity EIRental
TYPE
SERVICE ElNcw
EIChan~
~Tc'mporary
r'lNot Applicable
/~ommercial r'llndustrial
QOv~head I~Not Applicable
l"lUnderground
~ IN TI~ APPROPRIATE BLANK WITH TH~ I%tIIMB _F_~
Volts ./,~/
Phase /~ -~ _ Reeepta~ ~
~ps ~. Swit~ ~
Circuits ~.
Fixtures #.
CHECK ~ ALL APPLICABLE
l'lRanie VIDishwasher r'lGarbage Disposal ElDrycr
V1Fa.n 01~ Blower ElFumaoe '~JC ElElcctric Sign
r'IMotors []Gaa Pumps nother
EIWatcr Heater
- /
VALUE (Including labor and all m~ it,~._ i~,~h 4 ins Iii ~ fixtures) $ .~__.~-~) "----'-'---
3/02