HomeMy WebLinkAbout0097283-Electric (garage)
G
OSHKOSH
ON THE WATER
Job Address 2123 HARRISON ST
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No 97283
Service
p New
o Change
Owner WINNEBAGO COUNTY HOUSING AUTH Create Date 09/12/2002
Category 612 - Residential-Single Family Addition/R Plan
o Temp Type o Overhead o Underground
Circuits Fixtures 2
Switches 2 Receptacles
Contractor WITZKE ELECTRIC
Volts 120
Amps 20
Appliances
Use/Nature of SFRI Wire new garage.
Work
Fees: Valuation
$450.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By: .\( VV\
Date 09/13/2002
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address PO BOX 102 155 E PACKER AVE
Agent/Owner
OSHKOSH
WI 54903 - ~ Telephone Number 920~235-6572
"
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOf!Y
ON T~E= V-JATER
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 pennit(s) will result in fees being doubled or SlOO.OO plus the
nonnal pennit fee, whichever is greater.
OR
!f vou are a COntracTOr Dartici atin in the Permit Fee Account Svstem and have adeauate funds. check here
if V01l want this orocessed throurz/1 vour account 0
JOB ADDRESS
O~~R
DATE
~~:7'" 0 a
CHECK 0' ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex
OM ul ti - F al11i I y
ORental
o Commercial
OIndustrial
SERVICE DNew
o Change
OTemporary
]2Not Applicable
TYPE OOverhead ~ot Applicable
OUnderground
FILL IN THE APPROPRIATE BLA:"\'"K \\1TH THE ~LT;\JBER
Volts
Phase
Amps
/;;"0 I
I
020
Receptacles ==
I
~
Circuits #
I
~
Switches #
Fixtures ==
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
OMotors
ODishwasher
OFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
ODryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK; BEING DO~~
1.'3/ r
D~w
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MASTER ELECTRICI;\;'~
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