HomeMy WebLinkAbout0100577-Electric (bathroom)
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OSHKOSH
ON THE WATER
Job Address 324 W 18TH AVE
CITY OF 0 SHKOSH
No 100577
ELECTRIC PERMIT - APPliCATION ~ND RECORD
Service
10 New
o Change
Owner Create Date 04/02/2003
Category 612 - :esidential-Single Family Addition/ReI Plan
o Temp Type IC) Overhead C ) Underground
Circuits 0 Fixtures 0
--
Switches 1 Receptacles 0
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Contractor WITZKE ELECTRIC
Volts
Amps
o
Appliances
Use/Nature of SFR/ Wiring for bathroom exhaust fan and replace existing 11 OV recp \ ith ground fault.
Work
Fees: Valuation
$335.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By:
Date 04/02/2003
U Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governir I the described construction.
Signature
Date
Address
PO BOX 102 155 E PACKER AVE
Agent/Owner
OSHKOSH
WI 54f ~ - ~ Telephone Number 920-235-6572
...
City ofOahko.h
DiVision orlzu~tiOlJ S'lYicel
P.O. Box 1130
O$hko~ WI $4903..1130
PhOZle (920) ~6--$050
Fl>>( (920) 236.j084
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APR. 1. 2003
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. · APJ>lka~01l(.) lIJld lee(B) .." be &roush' to City :!fall, R-. ~OS or lIllUled to In_~oo Services, PO BOlt 1l28,
Oshkosh W1'S4903-11~8. ~cilJg "'ozt wi""'ut -1(.) will reSUl' in fees being doubled or $100.00 plus the
nOnnaJ Pennit fee, which eVer is greater. .
OR .
o "'rrJlGb!t.I!I.<l!~i'fLi!J lAU!.<12 /
If ~.. "oS'" I... 0>0." "d ,. ,. ~~A YR1/' ceo;; I!JU
EL.ECTRICAL PERMIT APPLICATION
All iDfol'lUation a&r bold categOJll!s Dlllst be Provided.
Incomplete appli~lltioM will not be processed,
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JOB ADll.Qss ..3:1 'I 1.,), I fi'1f.. .'s../.r ~., -(.
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CON'rRAC7:0lL Wit- v<e _;- It" . r'r. *r'lG.
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CRECl( ta ALL APPI,ICABl..E
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corlngl. Family OD""l"" OMUlti-l'amily
S.l.RVlCE ONew OTem~orary
OChange C1H<<APP1i~able
ORen!al OCOllIllJoroial OlnduSlrial
TYpE OOverhead ~ot A.pplicable
OUndergrOtlnd
Volts _
~hUe _
~lnps_
FIt.r.lN'l'8E APpROPRIATE BL.\Nl( WlTH'l'8E lmlI1VQ
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ReceptJU:l~s 'fI.___
SWitches #~ (
CirCUits I'C
FJ:ctQr-es # ~
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lttCK /YJ ALL APPLICABLE
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ODishwasher
OPumace
CJGas Pumps
OGarbage Disposal
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ODryer OWater Heater
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