HomeMy WebLinkAbout0094443-Electric (furnace & A/C)
.
OSHKOSH
ON THE WATER
Job Address 1008 MACARTHUR RD
Contractor WITZKE ELECTRIC
CITY OF OSHKOSH
No 94443
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
p New
o Change
Owner DAN & VEST A BURNS Create Date 05/17/2002
Category 612 - Residential-Single Family Addition/R Plan
o Temp Type o Overhead o Underground
Circuits Fixtures 0
Switches 0 Receptacles 0
Volts 240
Amps 30
Appliances
Furance & NC
Use/Nature of SFRI Wire furnace & a/c.
Work
.
Fees: Valuation
Issued By: Y....'f'A
$300.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 05/17/2002
D Permit Voided I
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
"
-City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON iHF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, 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 fee, which ever is greater.
OR
J vou are a contractor artici atin in the Permit Fee Account Svstem and have ade check here
if vou want this processed throuf!h vour account 0
DA TE ~-/~ -O:J-
JOB ADDRESS I OO~ Ma.e A rihf4r /foCI d
OWNER fj{u) t{ vesta I3UrfJ.!5
CONTR<\CTOR Wi+U'~ ~1~(jn'G .Inc.
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CHECK 0' ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE ONew
OChange
DDuplex
DMulti-Family
DRental o Commercial OIndustrial
TYPE DOverhead ~'Jot Applicable
OUnderground
f"
OTemporary
%Not Applicable
FILL IN THE APPROPRIATE BLAl'lK \V1TH THE' NUMBER
Volts
Phase
Amps
,).L!D I
I
c3tJ
Receptacles #
Circuits #
I
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
~urnace
OGas Pumps
DGarbage Disposal
;g(AJC
DOther
o Dryer OWater Heater
OE1ectric Sign
DESCRIPTION OF ALL WO~BEINGDONE t/)jr/h9 /o~ -fttrnQC't!.- ~ .Il-Ie-
u
MASTER ELECTRICIAl'l
fixtures) $ 3(YJr 00
I' ~,tJo 3/02