HomeMy WebLinkAbout0100087 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1609 JACKSON ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROSS F WANDSCHNEIDER
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 1
No 100087
Create Date 03/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dishwasher
Use/Nature of SFR/Kitchen improvements.
Work
Fees: Valuation
Issued By:
$650.00
Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 03/05/2003
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
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Al! information after bold cateSories must be prov~de~
Incomplete applications will not be processed.
N0.894
P.2/2
Applical/on(s) aad fee(n) can be brought to City Hail, Room 205 or mailed to Inspect/on Services, PO Box ! 128,
Oshkosh WI '54903-1 ! 28. Conunenclnt work without permit(s) will r¢:ult in fees being doubled or $100.00 plus :he
normal permit fee, which ever is greater.
OR
[£uau are a contractor aartictnatin~i~ tI~e Pertpll Fee /laco. unt System and.,ha1~e adfauate~fund~, cheek her,
if~.u want this _vrn:eessed thr~uffh Vour.,account_ ~ ' '
cosm cToa /i+ ke., Eta6 rt' ,qa. . ....
C][t]iCK I~ ALL A.PPUCABL]~
E CA RV
li~ingl~ Family ~Duplex r"lMulti-Family
SERVICE I'l~w [Te_raparary
rqchange ~nl~-t Applicable
~Rental
TYPE
FILL IN TI:T~. APPROPRIAT~ BLANK WITH THE ~
Volts / Receptacles # ,,~ Clrcu~,~q # ~)
Phase
Amps _ Switches # . [ _ FL~tures #_ _ [
CI'IRCK E[ ALL APPLICABLE
i-IRange ~'shwasher I'lGarbage Disposal r'lDryer I-IWater Heater
[]Fan OR Blower I"lFumace rlA/C F1ElecUic Sign
r'lMotors i~G~s Pumps C]Oth~