HomeMy WebLinkAbout0100394-Electric (receptacles; fixtures)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2163 W 9TH AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner THOMAS O HALLQUIST
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 3
Switches 0
No 100394
Create Date 03/26/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Commercial / add 3 receptacles in basement & 3 light fixtures.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 03/26/2003
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.25.£003 II:iTAM WITZKE ELECTRIC
H0,096 P.5/5
C~ty of O~h
Fax (920) 23g.~084
QJ'HKC H
ELECTRICAL PERMIT APPLICATION
All i~ormation after bold categories muat be provided.
I~oraplete applications will not be processed.
· Application(s) a~d fee(s) ram be brought to City Hail, Room 205 or mailed lo Insp~tion Ser¥iccs, PO Box 1 I28.
Oshkosh WI '~4903-1128, Commencing work without permit, s) will result in f~s b~inll Joubled or $100.00 p[~s fa%
normal p~nit fee, which ever is Ireat~.
OR
IL~u area contractor oarr. tctvatin~ t/~ th~ P~,rntt F. ee ~.r~oun~ Swtem and have ad,ounce funds, ~h~.~dc her,,
i~tt loant.thl$ grocaSsed tit.rough .~our aC. gaunt ~ - '
CI~_.~ [] ALL APPLICABLE
USE CATEGORY
[~Single Family
SERVICE ElNew
E]Change
L"lDuplex ~Multi-Family
[~l-Applicable
imR.¢a'tal
TYPE
o~o~reial l=ll. ndu$1zial
~Overhead i~ot Applicable
l'lUndcrsround
FILL IN THE APPROPRIATE BLANK WITH TI:IR ~BER-
Volt~ ( Receptacles g__ ~
Phsse
Amps 3witches #
Circuits #.~.~
Fixtures #. ~
CHR~ ~ ALL APPLICABLE
ORange EIDishwasher lZIGarbag¢ Disposal EIDryer ~Water Heater
I-IFan OR Blower I~Fumace I:IA/c IZIElectric $i~n
~Motors [] Gas Pumps ElOthcr
VALUE (l~eludlng lnbor and ali m~t~ lnc! nil Iii fl~ures) ~k _~
' .;1' ,';, J/ -,^