HomeMy WebLinkAbout0099601-Electric (misc)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 914 EASTMAN ST Owner
Contractor WITZKE ELECTRIC Category
Service D New (~ Change O Temp I
Volta Circuita
MATTHEW W BULLOCK
612 - Residential-Single Family Addition/R
Type (~) Overhead
1
Amps 0 Switches 0
No 99601
Create Date 01/27/2003
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFP,/Provide & install recp in bedroom and I GFR in basement.
Work
Fees: Valuation
Issued By:
$250.00 Plan Approval $0.00 Permit Fee Paid - $20.00
Date 01/27/2003
[] Permit Voided J
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 PACKERAVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
JAH.24.200B B:46PM NITZKE ELECTRIC
'City of Os~osh
Division of Inspection Services
P,O. Box 1
Oshkosh, WI,
Phone (~20)
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information ai~r bold categories mu~t be provided.
Incomplete applications will not b~ processed.
NO. 449 P. 2/2
THE ~ATER
· Application(s) and fee(s) cm be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1 t28,
Oshkosh WI '$4903-112g. Commencing work without porrnit(s) will r~sult in fees b~ing doubled or $100.00 plus thc
normal permit fcc, which m.= is greater.
OR
If you are_tac~ontracXor oar~i~t~atin~.Jn.the Permft_~e ,~ccount S¥.~tatn and .~ave adetluate fund, L_~Jleck here
[£ vou want this vroces~ed thru. ugh ~.our ~tcc-ount ~ - -
SOB ~I)DRE$$ ~ ~ .
CltECK ~ ALL APPLICABLE
amiGORY
ly ElDuplex OMulti-:Family
SERVICE I'lNew r'lTem~llorary
r'lChange ~ Applicable
I"IR. cmal
TYPE
EICommercial r'lMdu~aI
r'lOverhead l~6'~pplicable
ElUnderground
FW.L IN THE APPROPRIATE BLAi~rK WITH THE ~
Volts , l_ Receptseles # ~ Clreuiu # [
Phase
Amps.. Switches #. Fixtures #
CRRCK [~ ALL APPLICABLR
~Range I:IDishwasher [:IGarbage Disposal ODrycr ElWa~er Heater
~Fan OR Blower ElFumace EIA/C [21Elec~xic
[:3Motors I"IGas Pumps DO,er
DR$CRIPTION OF ALL WORK. BEING DON'~ '~ - 0 ~'~ ~_ ~' I (
;"4
I
all m ,] nl Iii fixtures)
VALUR (Ineludin~ lsbor and
MASTER ELECTRICIAN