HomeMy WebLinkAbout0100499-Electric (3 receptacles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1837 SIMPSON ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KAREN I PAULOS
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 0
No 100499
Create Date 03/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Provide & install 3 recps on the porch.
Work
Fees: Valuation
Issued By:
$325.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 03/28/2003
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.BB.2003 I:31PM WITZKE ELECTRIC '-H0.135' --'P.2/5 ...........
¢i~ of Oshk~h
Division of Inspection Services
B,O, Box 1130
Oshku~h, WI .~0~.!
Phone (~20)
F~x (920)236-5084
ELECTRICAL PERMIT APPLICATION
All infornmtion after bold catc§ories must be provided.
Incomplete applications will uot be processed.
· · Application(s) aud fee(s) can be brou~t to City Hall, Room 205 or mailed m hspec6on Services, PO Box I ! 28,
Oshkodu WI '54903-1128. Commcnc~g work without permit(s) will result in fees being doubled or $100.00 plus thc
normal peunit fee, which ever is ~eater.
OR
· ' ' '
JOB ADDRE$$.~
CHECK 1/1 ALL APPLICABLE
51Commercial ~Iadustrial
DOverhead ~plicable
ElUndersround
FILL IN TI~. APPROPRIATE BLANK WITH THE ~
Volts / Receptacles #_ ~
Phase --
Amps Switches ~
Circuits
lmixtures
CHECK ~{ ALL APPLICABLE
ORange 51Dishwasher OC. rarbage Disposal
Eli;an OR Blower OYurnace OA/C
I~Motors C{Oas Pumps 5{Other__
DE$CRIFTI~ON OlV AL~ WO.1U~BEING DONE
YA~T-T~ (I,,'udl.g labor and a{{ m{ ~~ ~iflxtur~) ~ A,.~
MASTER ELECTRICIAN . . ., /' l, ll.-~~..~
ElDrycr OWatcr Hca:er
ElElcctric Sign