HomeMy WebLinkAbout0100012-Electric (basement)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
JobAddress 821 W 9TH AVE Owner JEFFREY/ROXANE KNUESE Create Date 02/27/2003
Contractor WITZKE ELECTRIC Category 623- ResidentiaI-DuplexAddition/Remodel Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Switches 0 Receptacles
Amps 0
No 100012
Appliances
Use/Nature of DUPLEX/Rework washer & dryer receptacles basement, install missing covers, rework cables below joists, drill & install per code.
Work
Fees: Valuation
Issued By:
$330.00 Plan Approval $0.00 Permit Fee Paid $20.00
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.26.2003 3:S?PM
City ofOihlmsb ' .
Division oflnspee~on Services
P.O. Box ! 150
Oshkosh, WI 54903-! 13O
lahore (rZ0) 22e-~0S0
F~x (920) 23t~-:~084
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold cetegorica muat be provided.
Incomplete applicatiom will not be procesaed,
P.2/2
O. ZHKOYH
ON TH~ WATE~ --
· Application(s) and fee(s) can bc brought to City Hall, Room 205 or n',ailed to Inspection Services, PO Box ! 128,
Osl~osh WI '54903.I 128. Commencing work without permit(s) will result in fees being doubled or $! 00.00 plus the
normal permit fee, which ever is greater,
OR
J£ ~ou are_.a ~ntracror p_arti~(a.~_rlnsr in fAL~er_m~t ~ee_ ~ccount.$vstem_ a~d Aave ddeeu.=le .fun. d~. ¢~ec~ here.
ff vou want, :~'~ _a~'oces~ed tArou~h your accouaz ~
CHECK ~ ALL APPLICABLE
USE CATEGORY ~uplex
r"lSingl= Family
[2Multi-Family ORental
TYI~E
SERVICE Ii'll~ew
E]Change
~ot PApp°rary
licable
I"lComrnercial Ellndustrial
~Overhead ~Applicablc
I'lUnderground
FILL IN THE APPROPRIATE BLANK WITH
Volts / Receptacles #, Circuits #
Phase
Amps Switches #, Fixtures #.
CHECK ~ ALL AI~PLICABLE
CIRangc E1Dishwuher F1Garbag¢ Disposal 12Dryer OWat~r Heater
Ell:an OR Blower ClFumace CI~C rllileetric Sign
C1Motors CIOas Pumps [2Other
DESCRIPTIO~OI? A~LL,L WOR.I(,B~IING DOI~I: ~ ~L. ~ ¥,m ~
3/02