HomeMy WebLinkAbout0100331-Electric (2nd floor bedroom)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1122 MERRITT AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner STEVEN L/TAMERA GOODWlN
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 2
No 100331
Create Date 03/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for 2nd floor bedroom.
Work
Fees: Valuation
Issued By:
$535.00
Plan Approval
$0.00 Permit Fee Paid
$25.00
Date 03/21/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
MAR. :19. 2003 3: 45PH NITZKE ELECTRIC
CIty of O~o~
Di~sion of~p~n S~c~
P.O. B~ 1130
P~ne (920) 23~5050
Fax (~20) 23~50~
MO. 042
ELECTRICAL PERMIT APPLICATION
All information nfter bold categories mus~ be provided.
Incomplete al~licado~ls will not bo processed,
P.2/2
)ZHKO/H
GN 'TI, I ~
· Application(s) and fee[s) can be brou~t to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-! 128. Commcncln$ work withou: pcrmR(s) will rc~ul! in fccs being doubled or $100.00 plus the
normal permit fee, which cver is treamr.
OR
If__you ere a..conlraetor ~a~ticit~atin~ i~ fhe Permit Fee dccount ~yste~ and have adequate £und~. ehec~ here
il~yOU want t~-lt proc~.~$ed thrOU_~-lLyaur account ~ '
co cTo f+
CHECK R~ ALL APPLICABLE
KlCommercial ~h~dustrial
C}Overh~ad r~T o~tot ApplicabIc
C~Underground
FILL IN THE APPROPRIATE BLANK WITH TI-Itl ~
Volts . /, Receptacles # ~
Phase
A~mps __ Switchms #__ ~.~
Ctrcu~s ~ ~
Fixtures #. ~.~
CH~CK [] ALL APPLICABLE
EIRange r~Dishwashcr lDOarbage Disposal
E]Fan OR Blower ElFurnece CIA/C
r"lMotors I"lGas Pumps r'lOth~r _
DESCRIPTION OF ALL WORI~BRING DON~
ElDrycr E]Water Heater
VALIj'~ Clncludtng labor and
MASTER ELECTRIC~N
.)