HomeMy WebLinkAbout0099926-Electric (fireplace, add 2 receptacles & move 1 receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1122 MERRITT AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner STEVEN L/TAMERA GOODWIN
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 99926
Create Date 02/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wire for fireplace - Add 2 receptacles - move 1 receptacle.
Work
Fees: Valuation
Issued By:
$250.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/24/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
FEB. 21. ~ 1: 00PM
Division oflnspe~on Servi:es
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 235-5050
Pax (920) 23t~084
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold cate$ories must ~ ~,
~co~lctc a~Hcafions ~ not be proc~sed.
N0.762
ON TH~ WATEI~
Applicet/on(s) and fca(s) can be brought to City Hall, Room 205 or mailed to Inspection $crv/ces, PO Box 1128,
Oshkosh WI '~4903-1125, Connnencin/work without perm/t(s) will result in fees be/rig doublcd or $I00.00 plus the
normal permit fee, which ever is greater,
OR
lf vo_~/e ,~ contractor _varttojpatine tn the Permit Fee ~ccount Sy~l~m a~d Aave ade_~iaate fnnds, c~eck her~
you want thiz ,pro~f~.~d tAraueh your acCAunt ~ - -
DATE
CHECK I~ .~LL A2PLICA.BLE
e Family CIDuplex ClMulti-Family
SERVICE rlN'ew rlT~_~poraty
rlChange 3/'Nm Applicable
OP,.cntal
5]Coromcrcial Ellndustrial
ElO~'erhead
lZiUndergro~d
FILL IN THE APPROPRIATE BLANK WITH THE ~
Volts ,. , / Receptacles #
Phase
Amps Switches ~.
,, .-~ Circuits #
Fixtures #
CHECK li~ ALL APPLICABLE
~l~nge C1Dishwasher ClGarbage Disposal ClDryer ClWa~er Heater
ClFan OK Blower ~Furnacc EIA/C ~El~ctfic Sign
CIMotots gGas Pumps gOther ,,