HomeMy WebLinkAbout0100099-Electric (breaker)OSHKOSH
ON THE WATER
.lob Address 1016 DOVE ST
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GERALD A EBERT LIFE ESTATE
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100099
Create Date 03/07/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Replace defective pushamatic main breaker.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 03/07/2003
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
MRR. 6.~00~ ~:44PM
D/~/~/on onn~ect/on Sc'trices
P.O. Box 1130 '
O~kos~ W~ M~03-1130
Phone (920) 256-~0S0
Fax (920) ~6-~084
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ail infonnetion after bold categories ~t be provided.
Incomplete applications w/Il not b~ prO;~d.
50.924 P.273
ON TN~ WAT';I~
Applioation(s) and fee(s) em be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 I28,
Oshkosh WI '54903= 112g. Cornmeacing work without pa'mit(s) w/Il result/n fe~s be/ng doubled or $100,00 plus the
normal perm/t fee, whi;h ever is
OR
If you artl a contrttcror pa~ti~vattn~_ t~ the P~rmit Fe~_/lccount ~tem and ~av# adequat~ iund~. ~eek hsr~
t_£ vou wa;~t thl~ vroaezzed thrqu?h .voul', ag~ount
v^TE ,3 .~,.a .3
CHECK ~ ALL APPLICABLE
TEGORY
Family nlDuplex C1Multi.Farnily
SERVlCZ ~w
I-IChan/e I~t~6t Applicable
r'lRemal
TYPE
l"'lComm~rcial ITllndustrial
12Overhead ~Appticablc
r"lUnder/round
FILL IN THE APPROPRIATE BLANK WITH TKE N~I~/[BER
Volts../,~O I ~t,~ ReeepUcles # Circuits #,
Phase
Amps
CHECK [] ALL APPLICABLE
EIRant~e EIDishwasher 5]Garbage Disposal I~DD, cr ElWa:cr Hea~er
CIFan OR Blower I'lFurnace I"IA/C I-IEIectrie Si~n
I"lMotors IDOas Pumps I~Other
~am,~os o~ ~ womc, e~.~ DO~Z ',~
VALUI!: (Ineludin$ labor and all i ii aura) ~ ~$ '