HomeMy WebLinkAbout0096705- Electric (fans & controls) . (9 CITY OF OSHKOSH No96705
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1934 MINERVA ST Owner JOEL E /KAREN J LUNDT Create Date 08/19/2002
Contractor WITZKE ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change O Temp Type 0 Overhead 0 Underground
Volts Circuits 0 Fixtures 2
Mips 0 Switches 2 Receptacles 0
Appliances
Use /Nature of SFR/ Install 2 owner's fans & controls.
Work
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: V.40 Date 08/19/2002
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920- 235 -6572
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 Of HKO1H
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided. •
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -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
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
JOB ADDRESS 1 3 ��, DATE $ ' I J '' �oZ
g Y iitvve4�� .
OWNER Jm ie..A. L•+. ".'k
CONTRACTOR Vii i± zke Electric, 'nC .
CHECK El ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi - Famil :Mental ❑Commercial ❑Industrial
SERVICE DNew OTemporary TYPE ❑Overhead
❑Change ❑
Tot Applicable Ilot Applicable
Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER •
Volts / Receptacles #
Phase Circuits #
Am Switches # c2 a
Fixtures #
CHECK H ALL APPLICABLE
❑Range ODishwasher ❑Garba e Disposal g p ❑Dryer OWater Heater
DFan OR Blower ❑Furnace
❑Motors 0 `�' /C ❑Electric Sign
❑Gas Pumps ❑Other
DESCRIPTION 0 ALL WORK DONE
- a 0,..,3v..e g
VALUE (Includin labor and all m t �,/
(Including incl ng li a fixtures) $ /
MASTER ELECTRICIAN ' AA 11I`,, , P T�t ;'i' ' it
i AI a°
3/02