HomeMy WebLinkAbout0097265-Electric (garage) 0 CITY OF OSHKOSH No97265
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1320 NATIONAL AVE Owner WINNEBAGO COUNTY HOUSING AUTH Create Date 09/11/2002
Contractor WITZKE ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change O Temp Type O Overhead 0 Underground
Volts 120 Circuits 1 Fixtures 2
Amps 20 Switches 2 Receptacles 1
Appliances
Use /Nature of SFR/ Wiring new garage.
Work
Fees: Valuation $450.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: I(Vyl. 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 Inspecnon Services
P.O. Box 1130
W
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 L ,
ELECTRICAL PERMIT APPLICATION ON T! F 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 .artici,atin• in the Permit Fee Account System and have adeauate funds. check here
i you scant this processed throuah your account El
JOB ADDRESS 13 01 0 /60..... O DATE 9 - OZ
OWNER ;
CONTRACTOR f 7—k e, � ��� f ri m ' r
CHECK E l ALL APPLICABLE
USE CATEGORY
.Single Family Duplex DMulti- Family DRental
❑Commercial ❑Industrial
SERVICE :New ❑Temporary
DChange o TAE ❑Overheadiot Applicable
t Applicable DUnderground
•
FILL IN THE APPROPRIATE BLANK WITH THENUMBER
Volts / d O / Receptacles = f
Phase Circuits
Amps o20
Switches r a
Fixtures
CHECK H ALL APPLICABLE
❑Range DDishwasher
DFan e Blower Garbage Disposal DDryer DWater Heater
❑Furnace ❑AC
DMotors DGas Pumps DOther DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
- - of ct
VALUE (Includin labor bor and all m t rial incl _ fixtures) $ 4 L
MASTER ELECTRICIAN jam* 11`. 1 �.
3/02