HomeMy WebLinkAbout2002-ElectricCITY OF OSHKOSH No 97493
OSHKOSH ELECTRIC PERMIT -APPLICATION AND .RECORD
ON THE WATER
Job Address 1212 WASHINGTON AVE Owner JIMMIE G/DONDRA RUDD Create Date 09/24/2002
Contractor WITZKE ELECTRIC Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change ~ Temp Type ~ Overhead Q Underground _
Volts Circuits 0 Fixtures 3
Amps 0 Switches 6 Receptacles 8
Appliances
Use/Nature of
Work
Kitchen
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: `M Date 09/24/2002
Permit Voided
In the performance of this work I agree to pertomt all work pursuant to rules governing the described construction.
Signature
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102
Date
Telephone Number 920-235-6572
Ciry of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 1 30
Phone (920) 236-5050
Fax (920) 236-5084
O HK .lH
ELECTRICAL PERMIT APPLICATION ON THE \VAT'r.R~~
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 lus the
normal permit fee, which ever is greater. P
OR
-- . ~,,,
i you want this Drocessed through vou~ account
JOB ADDRESS - ~~~~ ~,`
OWNER. OJ (-~L 1,I CQ D~
CONTRACTOR VV t -f- eke ~ ~~~-rl' ~n .
CHECK Ef ALL APPLICABLE
~U,SE CATEGORY
Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change `~hTot Applicable
^Garbage Disposal
^A/C
I~Other
FILL IN THE APPROpR~TE BLANK V~TTH THE Ni.1'IBER
Volts / Receptacles #
Phase
Amps Switches ~_~_
CHECK H ALL APPLICABLE
~1Range ^Dishwasher
CIFan OR Blower ^Furnace
^Motors ^Gas Pumps
DESCRIPTION OF ALL
r,: VA`I'N (Including labor and all
'~ ~.
..MASTER ELECTRICIAN
DATE ~ ~--
RECEIVED
Circuits ~
Fixtures #~_
^Dryer ^Water Heater
^Electric Sign
DONE~~ Il 9e~ 1 "y A M~ / p.
SEP 2 4 2G~~
^Rental ^Con~~~111N T~j MEN1` 0 MEN
~:~~ T
TYPE ^Overhead Not Applicable
^Underground '" ~
fixtures) $ ,
(oO,ov 3/02