HomeMy WebLinkAbout0098563-Electric (service change) AI CITY OF OSHKOSH No98563 °Gi�M�
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OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD BEC /0
ON THE WATER
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Job Address 3772 GLENVIEW LN Owner BRAD STREGE Create Date 11/12/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service Q New Q Change Q Temp Type Q Overhead Q Underground
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Appliances
Use /Nature of MOBILE HOME/ Install new replacement meter socket.
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 11/12/2002
❑ 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
NO. P.4ii0
NOV. 8.2002 2 :33PM WITZKE ELECTRIC
City of Oshkosh
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Division of Inspection Services
OC P Sort 1130 DEC102002
Oshkosh, WI 54903.1130
Phone (930) 236 -5050 �
Fax (920) 236 -5084
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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 S100.00 plus the
normal permit fee, which ever is ,greater.
OR
/ • •,, • r • . rm' C. • ,►r n t o a. • If you want this processed threw :4 your eccounr
DATE 1/ -0 Q
SOB ADDRESS 3 /`I 7 ,�,.�
OWNER E)' R oN s it (af✓('� �0/'�2 •R4.4
CONTRACTOR W i +Zkei
CHECK BS ALL APPLICABLE
USE CATEGORY
Cr}5 ngle Family DDuplex °Multi- Family CIRental °Commercial °industrial
SERVICE 7111cA. DTernporary TYPE ❑Overhead Not Applicable
°Change °Not Applicable 1:3.rgergrotmd
FILL IN THE APPROPRIATE BLANK WITH THE tilt ER
Volts o / a '(0 Receptacles # Circuits #
Phase /
Amps /at5 Switches # Fixtures r
CHECK 65 ALL APPLICABLE
Mange °Dishwasher °Garbage Disposal °Dryer EIVv Ater Heater
Wan OR Blower C3Furnace OA/C ❑Electric Sign
°Motors °Gas Pumps ClOther _
DESCRIPTION OF ALL WORK,BEI'rG DONE .etb e
VALUE (Including labor and all m ria4 inel fixtures) $ 50/9
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MASTER EI TRiCL& . * fl l `� 1 �a c e' L
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