HomeMy WebLinkAbout0095652-Electric (misc) / ' Ci i"Y OF OSHKOSH No 95652
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1210 MORELAND ST Owner JOHN A/NANCY J BINDER Create Date 07/05/2002
Contractor WITZKE ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service 10 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 0 Fixtures 2
Mips 0 Switches 0 Receptacles 3
Appliances
Use /Nature of SFR/Install 2 ceiling fans w /light kits. Remove 3 basement porc & install 3 single rec for owners FL light fixtures.
Work
Fees: Valuation $750.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: )i ■/ Date 07/05/2002
❑ 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
A s hkosh
•
.ca f Inspection Services
Box 1130
;shkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 O f J �—j
,
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 adequate funds. check here
if you want this processed through your account ❑
DATE 7 'a -oa
JOB ADDRESS I 1 0 r c e-- SVC @.e--
OWNER 0 e.".c..., ij i ■j Q•
CONTRACTOR \AM 7- EIce-f-ri'G :►1C .
CHECK H ALL APPLICABLE
USE CATEGORY
lgSingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overheadiot Applicable
❑Change Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # 3 Circuits
Phase
Amps Switches # Fixtures # a
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher Garbage Disposal Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK, BEING DONE -1�s 1A1 a c e : fortis t...).'4
3 .- elv.e ..e , 'I—
VALUE (Including labor and all mat rials;incl i ng li fixtures) $ ii l�
CZ
MASTER ELECTRICI.AN ,ti ,zie 3,5
3 ,'�-