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HomeMy WebLinkAbout0100395-Electric (furnace)OSHKOSH ON THE WATER Job Address Contractor Service Volts 1000 N LARK ST WITZKE ELECTRIC [~ New (~ Change (~ Temp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner BRANT P GETHERS Category 612 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 0 Switches 0 No 100395 Create Date 03/26/2003 Plan ~ Underground Fixtures Receptacles Appliances Furnace Use/Nature of SFR/wiring for furnace replacement Work Fees: Valuation Issued By: $75.00 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 MA~.85.£003 ll:i?AM City of Od~m~h Divkioa of Impec~I0*~ *%trices ' ?,O. Box 1130 Os~h, ~ 54903-H30 P~ (920) 23~-5050 Fax (920) 23~50~ WITZKE ELECTRIC ELECTRICAL PERMIT APPLICATION All informm~on ~t=r boId c&~egori~s must b~ provided. Incomplete applications will not b: processed, N0.096 P.8/5 ©71- O/H · Applioation(s) and fa~(s) can be brought to City Hall, Room 205 or mailed to hspeclion Services, PO Box 1128, Oshkosh WI '54903-112S. Commencing work without pormit(s) will r~sult in fees being ~toublecl or $I 00.00 plus normal permit fee, wkich ever is ~rea~er. OR I~au ar~ a ¢gntra~ror ~arttclvatin~ l~ the Pfrmit Fee Account .g~$tsm and hav~ addlquate fu~dg, cit~ h~r~ .l~u want tats oroces~ed thr_Ough ~o_ur acco~t~tt ~ ' - ' CHI~CK [] ALL APPLICABLE mT~G°RY Family ~Duplex ElMulti-Family I"lR:ntal SERVICE ONew ClT~orary TYPE OChangc [3H'6t Applicable IDCornmcrcial Olndustrial ElOverhaad [~'b'~pplicable r'lund~rground FILL IN TIlE AI~PROPRI~TE BLANI( WITH TI~.. b'UMBER Volts I Receptacles Phase Amps Switches Circnlts # Fixtures #. CHRCK [] ALL APPLICABLE ORange ~s..~Swasher ClOarbage Disposal Ell:an OR Blower t--?umace EIA/C ~Motors C]Oas Pumps r'1Other ~ ODryer ClWatar Heater ['~Blect~c Sign nxscat~os o~ A~ woax~a ~o~rz Col r~ ~'3 4' VA~LU~ Clndudtn$ hbor and all mi MASTER ELECTRICIAI~ _