HomeMy WebLinkAbout0091678-Electric (machines) i CITY OF OSHKOSH No91678
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 2840 BRADLEY ST Owner 2840 BRADLEY LLP Create Date 12/06/2001
Contractor WITZKE ELECTRIC Category 655 Industrial- Motor /Control Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 480 Circuits 2 Fixtures
Amps Switches Receptacles
Appliances Motors
Use /Nature of IND/ relocate machine wire for new machine.
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Issued By: KM Date 12/06/2001
11 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
of
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
w ?i.c (320) 235 -50 4
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE )a 3 ro f
JOB ADDRESS 38 /d S�r
OWNER
10 %t
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CONTRACTOR WITZKE ELECTRIC INC
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE FA`^ILY❑ DUPLEX❑ MULTi_EA.'^__`{❑ _.ENTALF7
COMMERCIAL❑ _NDUSTRIALg
SERVICE: NEW CHANGE TEMPORARY NOT A__- -„ABL
TYPE: OVERHEAD UNDERGROUND NOT APPLI GAEL... g
.UMBER OF FIXTURES SWITCHES RECEPTACLES CIRCUITS a
AMPS VOLTS VgO PHASE ,31A
CHECK ALL APPLICABLE
RANGE WATER HEATER JARE D_J J�L Lj YE"
DISHWASHER 0 FAN OR BLOWER FURNACE A/C 71
ELECTRIC SIGN MOTORS GA .377 4PS
DESCRIPTION OF ALL WORK BEING DONE
t COQ
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN C C\.D 1 Q..2 S 4 6
Submit payment with application. e w in
O.0C o fee, e 7e r
fees being doubled or ._0 ^_r
,J norms: _c N_._
OR
.0 ne_? if want _..is