HomeMy WebLinkAbout0097274-Electric (garage) CITY OF OSHKOSH No 97274
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1920 WILSON AVE Owner OSHKOSH HOUSING AUTHORITY Create Date 09/12/2002
Contractor WITZKE ELECTRIC Category 612 Residential Single Family Addition /R Plan
Service p 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: }411 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 OJH<OJH
ON T-;F 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 you are a contractor particicatine in the Permit Fee Account System and have adecuate funds. check here
if you want this arocessed throurzh your account
DATE O oZ
JOB ADDRESS /lap (-3∎ US0A
krN
OWNER AM_ r &_GS'
CONTRACTOR V'V 1 f
CHECK H ALL APPLICABLE
USE CATEGORY
,Single Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead
Change �ivot Applicable
lot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts a 0 Receptacles B
Phase Circuits
Amps a O Switches a
Fixtures
CHECK H ALL APPLICABLE
:Mange ❑Dishwasher Garbage Disposal p ❑Dryer Water Heater
:Wan OR Blower ❑Furnace IDAYC ❑Electric
❑Motors Sign
❑Gas Pumps DOther
DESCRIPTION OF ALL WORK, BEING DONE tt� e
VALUE (Including labor and all m t rial' Inc' ng 11 fixtures) S 1 45 0
MASTER ELECTRICIAN IA* 111
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3/02