HomeMy WebLinkAbout0100521-Electric (separate circuit)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1325 EASTMAN ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner UNITED CEREBRAL PALSY WlNN INC
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Type I~ Overhead
Circuits 1
Switches 0
No 100521
Create Date 03/31/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of MULTI-FAMILY/Provide separate 110V circuit for fire protection system.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 03/31/2003
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.SB.8003 2:08PM NITZKE ELECTRIC N0.137----
City of
Division of Inspection Services
P.O, Box I
O~hkosh, WI $49034130
Phone (*920) 236-30.,'0
Fax (920) 236.$084
ELECTRICAL PERMIT APPLICATION
All mfotr~flo~ after bold categories mu~t bc prm~ded.
~complete application~ will. not be processed.
· · Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Illspection Services, ]PO ROX 1128,
Oshkosh WI '54903-! 128. Commencing work without pcnnit(s) will result in fees being ~loubled or $100,00 plus the
normal permit fee, which ever is greater,
OR
· d .
w at hi ~ h i e
CI~CK [~ ALL APPLICABLE
USE CATEGOJRY
C]Siugle Family C]Dupl~x l-lMulti-Family OKcntal
SERVICE C3New
OChar~e L~Applicab{c
FILL/2/THE APPROPRtAT~ BLAN~ WITH TKE ~
o~O~ercial ~Indusu'iaI
~Overhead [~i~"ppllcable
~Undcrground
Volts /, Receptacles #
Phase Circuits
Amps_ Switches P,, lq~tures
CKECK [] ALL APPLICABLE
ORange ODishwamher VlOarbage Disposal ODry~r ~Water Heater
r'lFan OR Blower ~Furna~e DA/C OElcc~c Sign
~Motors ClGas Pumps OOther
VALUE (Ineludinl labor and nil m
MASTER ELECTRICIAN (