HomeMy WebLinkAbout0100502 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1644 JACKSON ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL P KILDE
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100502
Create Date 03/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install disconnect on existing hot tub.
Work
Fees: Valuation
Issued By:
$150.00
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.88.2003 l:32PM WITZKE ELECTRIC N0.135 P.5/5
Diariiion of Impeefion Services
P,O. Box 1
OsMmsh, WI 54903-1130
Phone (920)
Fax (920) 236-5054
ELECTRICAL PERMIT APPLICATION
All hfformatioa after bold categories must ba provided.
Incomplete applications will not be processc¢l,
. m Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '$4903-11211. Commencing work without permit(s) will result in fccs being doubled or $100.00 plus thc
normal pc, nmit f~, which ever is groatcr,
OR
CHECK [] ALL APPLICABLE
Es_ r.a Gore:
, I~P~'inglc Family ElDuplex 12Multi-Family
~n~ ~ot Applicable
{2RentaI
TY/~E
FILL IN TIll A.PPROPRIATE BL.a~NK WITH TIlE
Volts / Receptacles #
Phase
Amps __ Switches #
I2Commcrcial ~Industrial
EIOverhead O~~licable
~Und~,ground
Circuits
Fixtures
CHECK [] ALL APPLICABLE
ElR. ange EIDishwasher
~Fan OR. Blower OFurnace
~Motors OOas Pumps
[2Garbage Disposal ElDryer [:]Water Heater
~A/'C EIElecrric Sign
I:lOther -. ,