HomeMy WebLinkAbout0100686-Electric (outdoor receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
1706 CEDAR ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SALLY A LYNGEN
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 0
No 100686
Create Date 04/08/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/PROVIDE AND INSTALL OUTDOOR RECP GFR.
Work
Fees: Valuation
Issued By:
$165.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/08/2003
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
APR. ?. ~00B ~: 56PM
City of O.h~o~h
Division of ~pec~on $e~ces
P.O. Box 1130
Os~ ~ 54903-1130
P~e (920) 236,~050
Ta~ (920)
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All irfformadon after bold categories must be provided.
Incomplete applications will not be process~.
NO.~12 P.3/3
IFHKO_/H
ON ri'~$ WAT~I~
· · Application(s) and fcc(s) can bc brought to City Hall, Room 205 or mailed to hspec~ion Services, PO Box 1128,
Oshkosh WI '54905-1128. Commencint work ~thou: pe~it(s) ~11 resuk ~ fees beini doubled or il 00.00 plus the
no~al p~t fee, ~ich ever is ~camr.
OR
If v~re a ~o.p, tract~rtici~atlng t~ th~mit Fee ~caount ~stem a~ave adeauat~_fund~eek b~
CHECK [] ALL APPLICA.BI.,E
US I~eTEGOR¥
Family []Duplex [-1Multi-Family
SERVICE ~Blew ~T_am~1~ora~
[~Changc ~ Applicable
~Rcntal
TYPI~
[~Cornmemial ~IndusiriaI
FlOverhcad [~pplicable
EIUnderground
FILL IN TIE~ APPROPRIATE BLANK WITH ~ NIh~BER
VoRs .! &O I Receptacles ~ /
Phase I
Amps ~ Switches ~
Circuits # /
~'lxmres #
CI-[ECK [] ALL APPLICABLR
EIRanse 13Dishwasher r'lGarbage Disposal ElDryer EIWater Heater
~l~an OR Blow~r ElFumacc EIA~C ElElectric Si~n
[] Motors ElGas Pumps [] Other
~fAsTIilRVALLrE (Includin8 lab°r and all m~mELI~CTRiCIAN ~.. ~"V~lia~inch 1~ nillilti tlxmr"s) $,~.{,,T ho*'~tN ' /~'~ ' - ~ .... ~J~" d "~""~y~ ~ O -
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