HomeMy WebLinkAbout0097275-Electric (garage) ll CITY OF OSHKOSH No 97275
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1711 WILSON AVE Owner OSHKOSH HOUSING AUTHORITY Create Date 09/12/2002
Contractor WITZKE ELECTRIC Category 612 Residential Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 120 Circuits 1 Fixtures 2
Amps 20 Switches 2 Receptacles 1
Appliances
Use /Nature of SFR/ Wire new garage.
Work
Fees: Valuation $450.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: y livk Date 09/13/2002
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 102 Telephone Number 920 235 -6572
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084 OfHKOfH
ON II- WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor participating in the Permit Fee .4ccount System and have adeauate funds. check here
if vou want this processed through vour account
DATE 9 -/"O
JOB ADDRESS 1 w t `g o '''A.
OWNER _�`xa i i► y o c i
7
CONTRACTOR W z,ke E (ta-- r1 G :Enc. C -olV1/4
CHECK H ALL APPLICABLE
V II\--
USE CATEGORY
2Single Family DDuplex DMulti Family DRental DCommercial Dlndustrial
SERVICE DNew DTemporary TYPE DOverhead
DChanaei iot Applicable
Vot Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts a O Receptacles
Phase Circuits
Amps a0 Switches r a a
Fixtures
CHECK H ALL APPLICABLE
DRange DDishwasher Garbage Disposal p D EIec r DWater Heater
DFan OR Blower DFurnace D C ❑Electric Sign
❑Motors
❑Gas Pumps DOther
DESCRIPTION OF ALL WORK, BEING DONE k y r e o,�t c t
VALUE (Including labor and all m t ria1l incl a fixtures) S yso
VtV
MASTER ELE CTRICLAN A,
3-
0 1111°r-
0