HomeMy WebLinkAbout0100396-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 929 EVANS ST
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ARTHUR V JORDEE
Category 612 - Residential-Single Family Addition/Ret
Amps 200
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100396
Create Date 03/26/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/replace existing OH service with new underground service
Work
Fees: Valuation
Issued By:
$1,500.00 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.2S.200~
Division of Im'pc~io~ i~rvice~
P,O. Box 1130
O~l~kosh, WI
Phone (920) 2t6-5050
:Fax (920) 236-S0114
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided,
Incomple:e appli~atiom will not be proceed,
HO.096
P. 4/5
QTHKClfH
Application(s) and fee(s) can be brought lo Ci~ Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh V~I '54903-1128. Commencing work without permit(s) will result in fees being ~loubled or $100.00 plus the
normal p~mit fee, which 6v~r is l~eater.
OR
lf~ou are. a ctlat~a~tor ~.arrlci_oatine i~ the Permit Fee .4ccount 5_¥$r~n and have adt~uate fu~d~, che~k here
if_v_o_u want this ~_~oea$~d.th~,ou~_t~ ~our acaount ~ - " -
JOB ADDRESS
co T cro
[~Rcmal
TYPE
EICommerciaI rllnduslzial
od l~Xot Applicable
und
FILL IN THE APPROPRIATE BLANK WITH
Volts
Phase -- /
Amps
Receptacles
Switches #,
Circuits
Fixtures
CI~ICK [] ~L APPLICABLE
ORange EIDishwasher OGarba~e Disposal
[:3Fan OR Blower ~iFurnacc
~Motors r3Gas Pumps t-tOther
DIeS. CRIFI'ION Ol~
[2Dryer EIWa:rr Haatcr
DEleclric Sign
BEING DOt~
VALUE Clnduding labor snd
MASTER ELECTRICIAN
fixtures) $