HomeMy WebLinkAbout2003-Electric (recept/circuits)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
424 WASHINGTON AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RESIDENTIAL SERVICE MANAGEMENT
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 4
Switches 0
No 100214
Create Date 03/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Provide and install 7 - 1 lOvolt recps. Install 4 circuits.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 03/14/2003
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
Ail information afl~ bold cz~egortes mu~ be provided,
lncornple~ applications will no~ be processed,
HO. 947 ..... P, :3/5 .......
· Application(s) and ice(s) oan be broufht to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work wi~out permit(s) will rcsuk in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. '
OR
co cTo W ,zke_, El fr,'c
CI~CI41 [~ ALL APPLICABLE
USE CATEGORY
~$ingle Family ElDuplex ~MulQ-Farnily
SERVICE 5New E]Temporary
/~Change [~No~'~Applicable
FILL IN THE APPROPRIATE BLANK WITH T~
Volts /.~o / __ Receptacles
Phase /
Amps ~,lm switches # .
ORental
TYPE
Circuits ~. '~/
Fbaures #_
CHECK [~ ALL APPLICABLE
~Range
~Fan OR. Blower
C~Motors
DE$CI~ II~TION OF
[Dishwasher []Garbage Disposal
ClFurnace []A/C
DOas Pumps r'1Otker
VALLrE (Including labor and:
MASTER ELECTRICIAN
BEING DONE
~Water Heater
ElDryer
K/Electric Sign