HomeMy WebLinkAbout0091425-ElectricCITY OF OSHKOSH No 91425
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 525 PYLE AVE Owner HEATHER A MCPHERSON Create Date 10/17/2001
Contractor W ITZKE ELECTRIC Category 612 -Residential-Single Family Addition/R Plan
Service New Q Change ~ Temp Type ~ Overhead 0 Underground
Volts Circuits 2 Fixtures 2
Amps Switches 3 Receptacles 1
Appliances
Use/Nature of
Work
or
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Km Date 11/20/2001
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
2i5 church Avenge
P.O. Box 11 30
Oshkosh, WI 54903-1130
Fax (320> 235-5033
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be pro~rided.
Incomplete applications will not be processed.
DATE I ~,~~D ~
JOB ADDRESS ~~~'I~ ~~~~
OWNER ~"~ ` ~C ~ry~~~
CONTRACTOR WITZKE ELECTRIC INC
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY DUPLEX^ MJLTI-FP.~ti1I':Y^ REri^AL^
COMMERCiAL^ INDUSTRIAL^
SERVICE: NEW ^ CHANGE ^ TEMPOR.~RY ^
TYPE: OVERHEAD ^ UNDERGROUND ^
NUI~ER OF FIXTURES _~ SWITCHES ~
RIOT APPi;1CAB:~E
NOT APPLICABL? ^
RECEPTACLES ~ ~IRCUITS Z
AMPS VOLTS / p~E
CHECK ALL APPLICABLE
RANGE ^ WATER HEATER ^ GARBAGE DISPOSAL ^
DISHWASHER ^
ELECTRIC SIGN ^
FAN OR BLOjAER (~
MOTORS ^
FURNACE ^
GAS PUMPS ^
DESCRIPTION OF ALL WORK BEING DONE
DRY'DR ^
~./C ^
C::.F,R
~~Yll~ /~E/12Od~S ~
VALUE (Including labor and all material includin li ht fixtures S(CJ~ ~
4 4 )
LISTER ELECTRICIAN
Submit payment wlth appliCdLlOn. Fdl' 're pay :~~~ili^, ,31J daV3 ',d~l_ __~~,i. 1. ;:
=ees being doubled or 5100.00 p'u,. the nor.,al pe_..~~o feo wh_c'r~ e-re- is ea'~er.
~~ - .-
OR
C.~ec.t here if v::~ ~a:!t ~:,is pro-.else.: c~r~ -~ vc::r a^cou::t ^
a
~~ ~~s~L~~7!