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HomeMy WebLinkAbout0091502-Electric (change panel) CITY OF OSHKOSH No 91502 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 932 MORELAND ST 1 Owner DEAN W & NOREEN E DZBINSKI Create Date 11/27/2001 Contractor WITZKE ELECTRIC Category 612 - Residential - Single Family Addition /R Plan Service p New 0 Change 0 Temp Type 0 Overhead 0 Underground Volts 120/240 Circuits Fixtures Amps 100 Switches Receptacles Appliances Use /Nature of SFR/ Main breaker on panel defective. Change out to new panel. Work Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00 Issued By: f jay\ Date 11/27/2001 ❑ 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 .. _ 5_zn s°. _n1ce__i: ; , 0 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903 -1130 Fax ■320) 236 -3J84 Phone (920) 236 -5046 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. 40Va d DATE J (- a :' 6l JOB ADDRESS ? 3 R % OWNER :)R t3 D J, i ,.�i CONTRACTOR WITZKE ELECTRIC INC CHECK ALL APPLICABLE USE CATEGORY: SINGLE FAMILY DUPLEX❑ ti ?ULTI- FAMILY❑ RENTAL COMMERCIAL❑ INDUSTRIAL❑ SERVICE: NEW ❑ CHANGE ❑ TEMPORARY ❑ NOT APPLICABLE E4 TYPE: OVERHEAD ❑ UNDERGROUND ❑ NOT APPLICABLE IJ 1U) ER OF FIXTURES SWITCHES RECEPTACLES CIRCUITS AMPS /CI' VOLTS /ad / a Y o PHASE ` �!J CHECK ALL APPLICABLE / RANGE ❑ WATER HEATER ❑ GARBAGE DISPOSAL ❑ DRYER ❑ DISHWASHER ❑ FAN OR BLOWER ❑ FURNACE ❑ A/C ❑ ELECTRIC SIGN ❑ MOTORS ❑ GAS PUMPS ❑ OTHER a DESCRIPTION OF ALL WORK BEING DONE e tU '\ tai �,...��J o ?a., X -De4e.J J e - LN..0. -■-, o To /0,10"3 3 ?c .t ( VALUE (Including labor and all materials including light fixtures) S MASTER ELECTRICIAN _:„''\ l.g."' Submit payment with applicatic:.. Failure to pay within 33 days will result in fees being doubled or $100.00 plus s the normal _rmi _ fee, which ever is greater. OR Check here if you wan_ tnis processedi t^rouc-. your account ❑ ll,)e41c._ Sc...Q.1Z3 /i- a ? ^O Ya 4., N©�s 0 - Electric Permit Work Card Job Address 932 MORELAND ST Permit Number 91502 Create Date 11/27/2001 Owner DEAN W & NOREEN E DZBINSKI Contractor WITZKE ELECTRIC Category 612 - Residential - Single Family Addition /R Service 0 New O Change O Temp • N/A Type 0 Overhead 0 Underground • N/A Volts 120/240 Circuits Fixtures Amps 100 Switches Receptacles Fee $20.00 ❑ Value $500.00 Appliances Use /Nature SFR/ Main breaker on panel defective. Change out to new panel. of Work Inspections: Date 11/28/01 Type Service Inspector Kevin Benner U Approved 11/27/01 FIELD REQUEST NOT APPROVED (upper cable required to be replaced) Date 11/28/01 Type Service Inspector 231134/_r t� u Approved 1:15 pm Mark from the E.C. called, the service cable is replaced CALLED INTO WPS 11/27/01, MAILED 12/03/01