HomeMy WebLinkAbout0100011-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1283 BAY SHORE DR
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DONALD/SYLVIA MCDONALD
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 20
Switches 12
No 100011
Create Date 10/15/2002
Plan
~ Underground
Fixtures
Receptacles
2O
4O
Appliances Furnace & A/C
Use/Nature of SFR/ Wiring for an addition - bedroom, library, garage, family room and basement remodel.
Work
Fees: Valuation
Issued By:
$25,000.00 Plan Approval $0.00 Permit Fee Paid
$225.00
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.200B 10:18AM
City ot'Os~osh ·
Division of lml~etio,, Services
P,O, Box 1130
Oehk0sb, 'WI ~4~03-1130
Phone (920) 236.50S0
1~ (920) 236-$0~4
It
WITZKE ELECTRIC
NO. 849 P, 5/5
ELECTRICAL PERMIT APPLICATION
All infomution after bold ce~e~ofies must be provided.
Incomplem epplicefiom will not be processed.
· Application(s) and £ce(s) oan 1~ brought to City Hell, Room 205 or mailed to ~agec~ion Services, PO Box 1128,
Oshkosh WI '$4903-1128. Commencing work without p~rtnit(s) will result in fees being doubled or $100.00 plus the
normal ~tlt fee, which ever is grcat~.
OR
l.f.vou are..a~ontractor _tt.a~atin? t~ the ~ermjt Fee .4ccount System and A~ve adequate .~,u_n~, clt~_~c_k here
if you_ _want tbi~ ~roce#$ed tArou~h your account ~
CFJ~CK g' ALL APPLICABLE
.U~SE CATEGORY
~x.Single Family E1Duplex ElMulti-Family
SERVICE ~New C]Tcraporary
I-IChanfle ~Not Applicable
[2Rental
TYPE
I~lCommercial Kllndustrial
[30wrhcad /~ot Applicabl~
ElUnderground
FILL IN THE APPROPRIAT~K BLAN~ WITH Tt~
Volts ....... / Receptacles #_.
~h~
~ps Switch~ ~
Circuits#
Fixtures #
CHECK [] ALL APPLICABLE
EitRange [ZIDishwasher ElGarbage Disposal ~Dryer ElWa~er Heater
IZIFan OR. Blower ~Furnacc I_l~--'Other I~Elccwic Si~
rnMotom ~3Oas Pumps