HomeMy WebLinkAbout0100013-Electric (misc.)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1732 SKYVIEW AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SCOTT M/HEIDI J PETHAN
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 2
No 100013
Create Date 02/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install new fixtures in basement, 1 in garage, and install owner's ceiling fan.
Work
Fees: Valuation
Issued By:
$785.00 Plan Approval $0.00 Permit Fee Paid
$35.00
Date 02/28/2003
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. 2B. 2003 10:
· Division ofluspection Services
Fax (g20) ~5084
NITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All infonna~n after bold categories nms~ be provided.
Incomplete appli~tiom will not be processed,
N0.849 P.2/S
Applicelion(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Scrvices, PO Box 1128~
Oshlmsh WI '54903-1128. Commenoing work without permit(s) will result in fccs being doubled or $100.00 plue thc
normal permit fac, which ever is greater,
OR
If_~o~ are~co~acwr aartictoatin~ f~ tAs Psrmit F_ee_Aceoun! Svst~m a~d ka_~e_ad~uate £~nds. eAee~ here
CHECK g ALL APPLICABLE
TEGORY
Family ClDuplex C]MulQ-Family
SERVICE EINcw r'J?~eemporary
CiChanie Eliot Applioable
t-tKemal ~Commercial C]Industrid
TYPE ~Overhead [~Applicable
ClU'nderground
FILL IN TH~ APPROPRIATE BLANK WITH
Volts / Receptacles # __ Circuits #
Phsse
Amps Switches ~. ~. Fixtures #
ALL APPLICABLE
E3Range DDishwasher ~Garbage Disposal lilDryer
ElFin OR Blower F1Furn~ce ~MC EIEleciric Sign
[~Motors r~Gas Pumps C30ther
CiWatcr I-][eat~r
DESCRIPTION OF ALL WORI~BEiNG DONE . ~~[ ~.,.~ ~~te g
(Including labor and ali rfnl~in~t t
~S~R ELECT~ C~ ~;' ~