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HomeMy WebLinkAbout0100101-Electric (interior wiring)OSHKOSH ON THE WATER Job Address Contractor Service Volts 1935 WHITE SWAN DR WITZKE ELECTRIC [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner COLLEEN BRADLEY Category 612 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 0 Switches 3 No 100101 Create Date 03/07/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/Install wiring for 3 ceiling fans & 3 ceiling lights. Work Fees: Valuation Issued By: $940.00 Plan Approval $0.00 Permit Fee Paid $45.00 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 MAR. 6.2009 2:44PM WITZKE ELECTRIc Division Of Inspection S~rvices P.O. Box 1130 Os~kosl~ WI $4g0~-1130 Phone (m0) ELECTRICAL PERMIT APPLICATION All i~t'ormadou at~r bold categories mus~ be provided. Incomplete applications will not be processed. H0.924 P,3/3 O_/HKO/H ON TI. IS' WATER · Application(s) and tee(s) can be brou~t to City Hall, Room 205 or mailed to [nspection Services, PO Box 1 Oshkosh WI '54903-I 128. Connnenoing work without permit(s) will result in fees being doubled or $100.00 plus thc nonn~ pcrrnit fee, which eVer is Fester. OR lf~_O_t~l~nt t~t$ p~'o~e~sfd zhrou~h your acCoun~t ~ ' ' SOB A~)DRESS / c~ ~,~ ~.~.,,,lr~' .~,.,.~,.~. CItlICK ~ ALL APPLICABLE [~Single Family ~Duplex ~Multi-F~ily 8ER~ DNew ~or~ 0~ ~ot Applicable ElR~tal TYPE EICornmercial Dlndustrial ~Ovcrhcad [~q~pplicable ~ndcrground ~-LL ]~qq TI~ APPROP]~IATE BLA~ WXTH TKE ~!~Ls~/XBER Volts , / _ Receptacles # Circuits # Phase '- Amps Switches # ~_~__ Fixtures #, ~ CI'IRCK ~ ALL AI~PLICABLE DESCX~TION 0~' ALL V~/OI~BEING DOl'q~~~ ~(rI~, ~r