HomeMy WebLinkAbout0100575-Electric (fixtures)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2010 DICKINSON AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OMNI GLASS & PAINT INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 100575
Create Date 04/02/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Add 2 light fixtures and 2 ceiling fans.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/02/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
APR. 1.2003 9:39AM WITZKE ELECTRIC N0.158 P.4/4
City of Oshkosh
Divi~un of Inspection Se:vice~
P.O. Box l D0
Pbo~ (920) 236-~0~0
P~ (P20) 23~50~
ELECTRICAL PERMIT APPLICATION
All information attcr bold cnte$ories must be provided.
Incomplete applications will not be processed.
O./HKO/H
ON THE ~T~
· * Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to In~peelion Services, PO Box 1128,
Os~osh ~ '5~903-I 128. Co~g work ~hout p~itCs) will ~sd~ in fees being doubled or il ~.00 plus the
no~al p~t fee, which e~r is ~eat~.
OR
~ou ar~a contr~ ~arti~atin~ i~ the Permit Fee ~c~unr ~vst~ a~d haveade~uate.fuad~, 9~eck ,~e~
i~ou ~an~ this proeessed through your a~c~nt ~
CHECK [~ ALL APPLICABLE
USE CATEGORY
~Singl¢ Family
SERVICE EINew
OChan~e
/2Duplex ~Multi-Family
licable
~RemaI
TYPE
Commercial CIIndustrial
OOvcrhead o~t Applicable
~Underlp'ound
FILL IN TIlE APPROPRIATE BLANK WITH ~ NTv'MBI~R
Volts / . Receptacles #
Phase
Amps Switches ~.
Circuits #
~'ixtures ii.
CHECK [] ALL APPLICABLIi
~Range ~Dishwash~r r'lGarbage Disposal
EilFan OR. Blower IZIFurnace OAJC
[]Motors EIGas Pumps ElOther.
[]Dryer ElWater Heater
ElElectric Sign
DE$CRIFTION Or ALL WORI~BI~.ING DONE
VALU~(~cludtnglaborandnll . . . ·
MASTER ELE~~~~ ~, [L~