HomeMy WebLinkAbout0097284-Electric (garage) 02, CITY OF OSHKOSH No97284
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1717 WILSON AVE Owner OSHKOSH HOUSING AUTHORITY Create Date 09/12/2002
Contractor WITZKE ELECTRIC Category 612 Residential Single Family Addition /R Plan
Service 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 $20.00
Issued By: k Date 09/13/2002
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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084
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ELECTRICAL PERMIT APPLICATION ON THE WATER
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee .4ccount System and have adeauate funds. check here
if you want this processed through your account E
DATE
JOB ADDRESS 1 7 1 7 1 3; t,S o
OWNER
CONTRACTOR Wl zke
CHECK H ALL APPLICABLE
USE CATEGORY
2Single Family ❑Duplex ❑Multi- Family ❑Rental
❑Commercial ❑Industrial
SERVICE ❑New OTemporary TYPE ❑Overhead
❑Change lot Applicable iot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts a O Receptacles
Phase Circuits
Amps Switches r
Fixtures a
CHECK H ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal OD er
OFan OR Blower ❑Furnace OA/C ry ❑Water Heater
❑Motors OGas Pumps ❑Other OElectric Sign
DESCRIPTION OF ALL WORK DONE
1
VALUE (Including labor and all m t: rial incl
fixtures) S
MASTER ELECTRICIAN 1 ilk 1 ti'
Yt a°