HomeMy WebLinkAbout0100397-Electric (receptacles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
109W BENT AVE
WITZKE ELECTRIC
New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SHANNON L TRASKA
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 0
No 100397
Create Date 03/26/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/provide & install 1-range receptacle, 1-110 volt kitchen receptacle
Work
Fees: Valuation
Issued By:
$150.00 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.25.200~ 11:17AM
Cl~y of Oshkofl~
Division of Inspection Services
P.O. Box I
Oshkosh, WI
Pho~ (920) 236.$0~0
~x (920) 23~-50~4
WITZKE ELECTRIC
ELECTRICAl. PERMIT APPLICATION
All inforrn~tlon after bold e~e$ori~s must be provided.
Incomplete applicadons ~ll not be preceded.
MO.096 P.3/5
).f_EdKO_fR
· Application(s) and icc(s) can bc broug~n to City Hall, Room 205 or mailed to Inspcotion Services, PO Box 1128,
Oshkosh WI '$4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
~r£ you are e~t~n_l~'aetor aarttcivo~ia~ IA tke Permit Fee ~4cco~nt System and iave ad~(xtt fund~lte~k Asr.
DATE 3" ~t t~ "0 ~
CI~CK ~ ALL APPLICABLE
TEGORY
Family L-1Duplcx [~Multi-Family
SERVICE ETNew O_T_em~,.orery
OChange El~Ib'fApplicablc
OR. entel [] Commcmial E~ I. ndustri al
TYPIC. 12Overhead ~licable
f'lUnderground
FILL IN TIlE APPROPRIATE BLANK WITH THE ~tlMBEI~
Volts / Receptacles # _ O~
Phase --
Amps Switches #
Circuits
FLxlures
CHIiICK ~ ALL APPLIC~BL,~