HomeMy WebLinkAbout0100086-Electric (range receptacle)OSHKOSH
ON THE WATER
.lob Address 1019 CEAPE AVE
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROBERT J LEITL
Category 612 - Residential-Single Family Addition/Ret
Amps 0
~) Temp
Type I~ Overhead
Circuits 1
Switches 0
No 100086
Create Date 03/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range
Use/Nature of SFR/Provide and install new 4 wire range receptacle.
Work
Fees: Valuation
Issued By:
$130.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
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
MAR. 3,2003 4:0?PM
Division ot'lmpecti~a Services
P,O. ]Box !
Oshlm~h, Wi 54903-! 1:10
?hon~ (920)
:Pax (920)236-$084
WI~ZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Al! information e~r bold cm~gories mus~ be provided.
Incomplete &pplicefions will not b~ processedi
P.
WATER --
Applicetion(s) end fe~(s) can bc brought to City Hail, Room 205 or mailed to ~spectlon Services, PO 9ox 1128,
Oshkosh WI '.54903-1128. Commencing work without permit(s) will
normal pein'dr tee, whioh ever is
~want thf$ ~rocessed t]lroueh ~ou~ aacount ~ ' ' ] ~ "
3OB ~D~SS~~
Co cTo Wi+
CtllICK ~ ALL APPLICABLE
e TEGORY
Family
SERVICE i~N'cw
~Chenge
EIDuplex l~lMul~i-Pamily
pOrary
plicable
E]RentaI ElCommercial EIhdustrial
TYPE ~Overl~sd Ek~'~'pplioable
~Underground
FILL IN THE APPROPRIAT~ BLANK WITH TI-~
Volts ../~O / ~O Receptacles
Phase
Amps . Switeh~
Circuits
Fixtures
CI~CK ~ ALL ,4,PPLICABLE
(~se EIDishwasher ~Oerbage Disposal ~cr UWat~ Hea~
~F~ OR Blow~ DPu~ce ~MC ~Elec~c Si~
OMom~ OGas Pumps 00~