HomeMy WebLinkAbout0096944-Electric (service change) Op- CITY OF OSHKOSH No96944
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1724 GLENWOOD DR Owner ERIC LENZ/LORI SCHWERTFEGER Create Date 08/29/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New O Change 0 Temp Type 0 Overhead 0 Underground
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Appliances
Use /Nature of SFR/ Install 100amp feeder between existing ped & mobile home panel.
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: ,i \ k Date 08/29/2002
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920 - 235 -6572
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJH<Os
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 - 1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adeauate funds, check here
if You want this processed through your account []
DATE ��,0 �--
JOB ADDRESS / / 7? �j P.Ii GUOOC/ f Y
OWNER �Jl+ p f' , 6L,
CONTRACTOR 1 z.ke E I c( rl
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CHECK B ALL APPLICABLE
U E CATEGORY
Single Family ❑Duplex ❑Multi - Famil ❑Rental ❑
Commerctal ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead
❑Change tot Applicableot Applicable
❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER •
Volts / "a-e / a' Receptacles #
Phase / Circuits #
Amps /00 Switches #
Fixtures #
CHECK L( ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑D er
❑Fan OR Blower ❑Furnace IA/C �' ❑Water Heater
❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRI 'TION OF ALL WO ' BEING DONE pre)
)
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D , tigwasommi
VALUE (Including labor and all m t : rial incl • �---
fixtures) $ Soa
MASTER ELECTRICIAN la , , r J
3/02