HomeMy WebLinkAbout0100285-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 238 N LARKST
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DEBORAH A BARTELT
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100285
Create Date 03/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/New service upgrade.
Work
Fees: Valuation
Issued By:
$900.00
Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 03/19/2003
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 Os~osh
--
P.O. Box !130
O~kosh, WI
Phone (920) 236.$050
NITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ail inforn~tion after bold categories must Be provid=~
lncoreplete app~ations will not bc processed.
H0.015 P.4/4
Of O/H
ON YH~
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed m Inspect'ion Services, PO Box 1128,
Oshkosh WI '5490-~.11118. Cornrnoncin8 work without permit(s) will result in fe~s bain8 ~louMed or $I00.00 plus
normal permit fee, which ever is Freater.
OR
~nt thl~e$~ed~rIJr°u~.lt ~our ~ccount ~
C~ECK ~ ALL APPLICABLE
TEGORY
Family
SERVICE
[~Duplex [] Multi-F~mily
~Temporary
I~Not Applicablc
[3Rental EICommercial Elludustrial
TYPE E~ead K1Not Applicable
ElUnder~'ound
FILL IN Tm~. APPROPRIATE BLANK WITH THE ~
Volts t ~,O I ~t ~ O Reeepilcles # Circuits
Phase.. ( , _
Amps i /~ I · Switches ii_ Fixtures
CHECK I~ ALL APPLICABLE
~Range ~Dishwasher E]Garbagc Disposal E]Dryer rlWeter Heater
ElFan OR Blower ClFumace EIA/C [~Eleclric Sign
ElMotors l"lGas Pumps ElOther
DESCRIPTION OF ALL WORI~BEING DONE~~.
VALUE (Including labor and ~' '{ ~ ~' +
all mt, fnek ng lit ?~
MASTER ELECTRICIAN