HomeMy WebLinkAbout0100401-Electric (exhaust fan)OSHKOSH
ON THE WATER
Job Address 57 BAY ST
Contractor WITZKE ELECTRIC
Service [~ New (~) Change (~) Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DANIEL H KRIZ
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100401
Create Date 03/26/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/wiring for bathroom exhaust fan
Work
Fees: Valuation
Issued By:
$200.00
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
M~R. 21. L:~03 3: 44PH WITZI<E ELECTRIC
N0.073 P.5/5
City of Oshkosh
Dt~sion of Inspection Services
P,O. Box 1130
Oshkosh, WI $490~-I
Phone (920) 236.50.s0
Fax (920) 236-$084
ON T~ WATER
ELECTRICAL PERMIT APPLICATION
All iuim~tion sflcr bold cam$ories must be provided.
Incomplete epplicetions will not bc processed,
· Application(s) and fee(s) can b~ brought to City Itall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903.1128, Commencing work without permit(s) wiIl result in fees bern8 ~loubled or $100.00 plus the
normal permit fc~, which ever is greater.
OR
If you are a contractor _mzrtici_vatin~ I~ rhg.permit Fee A eco.~t Sv_ztam and have adep_uale fund~, checl~ here
If van want Ibis _vroee&zed throu~,_ h your acrouat ~
CHECK [] ALL APPLICABLE
USE CATEGORY
ClSingle Family
SERVICE [~New
ElChsngc
KIDuplex ~Multi-Family
ElTemporary
ElNot Applicable
[ZIRentnl
TYPE
rylCommercial l~htdustrial
C20vcrhead F1Not Applicable
E]Under~round
FILL IN THE APPROPRIATE BLA.NK WITH TI:Ill
Volts / Receptacles #_._ Circuits
Phs. se,
Amps Switches #_. Fixtures
CHECK [] ALL A. PPLICABLE
DESCRIPTION O.F ALI,~WORK, BEING DONE
3/02