HomeMy WebLinkAbout0100501-Electric (dryer receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 240
000-1014 CUMBERLAND TRL
WITZKE ELECTRIC
New (~ Change (~ Temp
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 100501
Create Date 03/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dryer
Use/Nature of ~1006/Provide and 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.~8.2003 I:3EPM WITZKE ELECTRIC hK).la5 '-P.4/5
D/vision oflnspection Se~¢es
P.O, Box 1130
Oshkosh, WI f4903-1130
Phone (920) 236-$050
Pax (g20) 236-~084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applicaliom will not be processed.
QN TI,,i~ WATI~I~
· · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed ~o Inspccrion Services, PO Box 1 I28,
Oshkosh W1 'S4903.1128. Commencing work without permit(s) will result in fees being doubled or $100.00 pluS the
normal permit fee, which cver is greater.
OR
~ a,e q ~tracY~or Vartictva. tin~ t~ the_P~rmlr Fee Ac~au~.t Swtzrn and have_acletat_ate £u~Ld~. c~.ck A~,~
l/you .want this _l~.roceg_~ed through ~our acc_~nt ~ ....
CIIECK [] ALL APPLICABLE
USI~ CATEGORY
[]Single Family ~Duplcx
SERVICE EINew
C1Change
~ulfi-Family
~ot App°r~
haable
EIKental ~Commcrcial Ellndus~'ial
TYPE ElOv~rhead o[3~t Appli~able
EIUnderground
. FILL IN TI-rE. APPROPRIATE BLANK WITH TIlE
Volts / ~ 0 Receptacles L
Phase I
Amps, ~C~ Switches #
Circuits #
l~L, ctures #__
CHI~CK 1~ ALL APPLICABLR
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