HomeMy WebLinkAbout0091929-Electric (1) CITY OF OSHKOSH No91929
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2621 SHOREWOOD DR Owner THOMAS P NESBITT Create Date 11/30/2001
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service p New • Change 0 Temp Type • Overhead 0 Underground
Volts 120/240 Circuits Fixtures
Amps 200 Switches
Receptacles
Appliances
Use /Nature of SFR/ Replace defective 200amp panel with new panel.
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: Date 12/21/2001
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
, #2 72.i 0
_-.:c, if a ^s - - -
P.O. Box 1130
r n -K^ n ( Oshkosh WI 54903 :1, H
M :ter .vw rc
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after cold ca zr: st be pro- ,_i
Incomplete applications will :-ct ce processeC.
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JOB ADDRESS a&a! 61 - Df:..)' �
OWNER /0 el 10eS's
CONTRACTOR WITZKE ELECTRIC INC
CHECK ALL APPLICABLE
USE CATEGORY: SINGLE :A iILYX Du_ ?I. =X❑ , ! I- -AMILy❑ ` T L
REE
COMMERCIAL I`i :USTR_AL rT
SERVICE: NEW ❑ CHANGE K TEMPORARY ❑ AND_ APPLICABLE U
TYPE: OVERHEAD UNDERGROUND El NO- APPLICABLE ❑
NUMBER OF FIXTURES SWITCHES RECEPTACLES CIRCUITS -
_?CUI_
AMPS _c VOLTS / Cho / a YO PHASE
CHECK ALL APPLICABLE
RANGE ❑ WATER HEATER 0 r:ARAGE POc - FT Li
DISHWASHER ❑ :AN OR ELCWER [] FURNACE ❑ A/C ❑
ELECTRIC SIGN ❑ MOTORS ❑ GAS PUMPS ❑ c_,
DESCRIPTION OF ALL W RR BEING DONE
' ;C:,..4J4.—t _ .
- ?‘t_Rk .c. D call' .5 2 ° • ? ---44 1'
VALUE (Including labor and all material including light fixtures) S lamp ^
MASTER ELECTRICIAN ( Cve ^ .fe...14`'‘I
Submit payment with application. __; ; (
1Ci.• (✓ c_ i-..i_.. ... v3 '
fees being doubled or 100.00 p he .^. r car . - fee, which
OR
a.. khec k here if vc want :his prOCes5e4 ❑