HomeMy WebLinkAbout0089971-Electric (code corrections) el) CITY OF OSHKOSH No 89971
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 344 SARATOGA AVE Owner CHARLES J WAGNER Create Date 10/03/2001
Contractor WITZKE ELECTRIC Category 612 Residential Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use /Nature of DUPLEX/ Correct code violations. Code #16 -34A.
Work
Fees: Valuation $125.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: 4.(101 Date 10/03/2001
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
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Fax 236
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must b provided.
Incomplete applications will not be processed.
DATE 1 /"C1
JOB ADDRESS 3`{'+ Seki c'\
1
OWNER L�a� V4S S. Q
CONTRACTOR WITZKE ELECTRIC INC
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FAMILY❑ DUPLEX'S MULTI- FAMILY❑ RENTAL❑
COMMERCIAL❑ INDUSTRIAL❑
SERVICE: NEW CHANGE TEMPORARY NOT APPLICABLE o
TYPE: OVERHEAD UNDERGROUND NOT APPLICABLE Eg
NUMBER OF' FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL 11 DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL W O R K BEING DONE 1), o e e 0\ �c ?t,;
Co It 3 y A (3)c\ Z+�AA
13r l.�.e +K� Zk.Spe <A-o r
VALUE (Including labor and all materials including light fixtures) /;45
MASTER ELECTRICIAN ��,,,on a
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is greater.
OR
Check here if you want this processed through your account