HomeMy WebLinkAbout0100500-Electrric (dryer receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 240
1044-1058 CUMBERLAND TRL
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 30
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CUMBERLAND COURT HOUSING COMM I1'
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Type I~ Overhead
Circuits 1
Switches 0
No 100500
Create Date 03/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dryer
Use/Nature of ~1050/Provide & install 4 wire dryer recp.
Work
Fees: Valuation
Issued By:
$150.00
Plan Approval
$0.00 Permit Fee Paid
$0.00
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.28.£OOB I:31PM WITZKE ELECTRIC .... N0.135 ...... ~.3/5'
ELECTRICAL PERMIT APPLICATION
Ail in,ontario= af~ bold catei~orics must be provided,
Incomplete applications will not be processed.
·, ON T~ WA?I~R
· · Application(s) and fee(s) can be brought to City Hall,. Room 205 or mailed to Inspeotion Services, PO Box 1128,
Oshkosh WI '$4903-1128. Cornmcncing work without permit(s) will result in fccs being doubled or $100.00 plus the
normal permit fee, which ever is ~rcatcr.
OR
JOB ADDRES$~~,v~ ~; C~
Ct~CK [] ALL ,~PPLICABLE
USE C~TEGORY ~
El$~gle Family IDDuplex -Family I::lRental
SEaVXCZ ONew _._T_5 or.r7
l-lChange ~t App]icable
~Commcrcial Dludustrial
ElOverhcad [~t Applieable
OUnder~round
FILL IN THE APPROPRIATE BLANK WITH
Volts / ~0 Receptacles #__ te Circuits
Phase /
Amps '~ ~ Switches ~ ~L~tures
CI-I~CK [] A.LL APPLICABLE
l:;:]Rarige ElDishwuher ~Oarbage Disposal ~ DWater Heater
r'lFan OR Blower r'lFurn~e EIA/C ElElectnc Siip
F1Motors EIGas Pumps r'10thcr
V'ALU~ (Iaeludtng lnbor nad all
.~IASTER ELECTRICIAN