HomeMy WebLinkAbout0100400 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
210 E MURDOCKAVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ARLIN D/PAULA J ROTHE
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 4
Switches 1
No 100400
Create Date 03/26/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/add new receptacles in kitchen, living room, bedroom, and bath fan.
Work
Fees: Valuation
Issued By:
$1,300.00 Plan Approval $0.00 Permit Fee Paid
$60.00
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. 21. 200B B: ~M
Ci~ of
Division of Inspection .%rvices
P,O. Box 1130
Oshko~l~, WI 54903-1130
Phone (920)
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided,
Incomplete applications will not be processed.
HO.073 P.3/5
· Application(s) trod fee(s) can be brought to City Hall, Room 20~ or mailed to Inspection Ser¥iees, PO Box l 128,
Oshkosh WI'f4903-1128, Commc~ing work without pcrmlt(s) wilt result in fees befl~g doubled or $ 100.O0 plus the
normal parrot f¢¢, which ~ar is srcat~r.
OR
If you a. rma ~on~ractor ~arti. ci~atinlt ~ the Permit l:_e~_A_cc_ount System attit have~clta_uate funds, c~ct here
[f vou wa~t tht~ processed thr, p_ugh your acco_u~ ~
cl:m~ CK [~ ALL AI~PLICABIJ~
US ~gleTZG .O. RY
Family ~DupI~x ~Mul~i-F~ily
~nge ~Applicable
I-[P, ental
TYPE
[2Commercial ~Industrial
~lOverhead E~Appl{cable
[:]Under~round
FILL IN THE APPROPRIATE BLANK WITH THE NU~BE~
Vol~s / Receptacles #
l~hase
Amps Switches #
Circuits
Fixtures
CHI!iCK El ALL APPLICABLE
OP,. ~Dishwasher OOnr~age Disposal r-iDrycr r"tWaer Hearer
Blower E3Fumace [~AJC [:]Ele0tric Sisn
I"lMotors E]Oas Pumps [:]Othcr
3f02