HomeMy WebLinkAbout0100284-Electric (garage opener)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1935 DOEMEL ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ERIK S KRUMHOLZ/LAURA LANGE
Category 612- Residential-Single Family Addition/Ret
No 100284
Create Date 03/19/2003
Plan
Type I~ Overhead ~ Underground
Circuits 0 Fixtures
Switches 0 Receptacles
Appliances
Use/Nature of SFR/Provide and install one 110V rec for garage door opener. Replace existing recp GFR. Fix problem with basement light.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval $0.00 Permit Fee Paid $20.00
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
MAR.18.200B 8:20AM WITZKE ELECTRIC
M0.015 P.3/4
Die/sion of inspcction SerV/ces
P.O. Box 1130 '
Oshkosh, WI ~4003.1130
Phone (920) 236.$050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold eategm-ies mus~ be provided.
Incomplete applimtiona will not bc processed.
· Application(s) zed fee(s) caa be brought to City Hall, Room 205 ot mailed to Inspection Services, PO Box 1128,
Oshkosh WI '$4903-1128, Commencing work without permit(s) will result in fees bring doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you. re a contrae!_o~' aartieJFaH_.n~ i~ the_J~e~mit Fee AccOunt $~$lem and.have adt_gua1£fundG, check.her~
if you want this _orace~sed t~ your accoun~ ~
JOB *o m ss $
CFIXCK I~ ALL APPLICABLE
TEGORY
Family DDuplcx DMulti-Family ~Rental
SERVICE DN w
~Chan~e ~t Applicsble
UlCommercial Ellndustrial
CIOverhead ~'~Applicable
ElUnderground
FILL IN T~ APPROPRIATE BLANK WITH THE ~
Volts I Receptn~les
Phase
Amps Switches
Circuits #
Fixtures # .
CHECK [] ALL APPLICABLE
DRangc EIDishwasher [~Oarbage Disposal
Ell:an OR Blower ~]Furnace ~A./C
ElMotors ClGas Pumps [~Other
ElDry~ DWater Heater
ClBlcctric Sign
BEING DONE
VALUE (Including labor and
MASTER ELECTRICIAN
fixtures) $
3/02