HomeMy WebLinkAbout0094937-Electric (service change) ED CITY OF OSHKOSH No94937
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 420 WAUGOO AVE Owner BARBARA J BAKER Create Date 06/07/2002
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New • Change 0 Temp Type 0 Overhead 0 Underground
Volts 120/240 Circuits 0 Fixtures 0
Mips 200 Switches 2 Receptacles 0
Appliances
Use /Nature of MULTI - FAMILY/ RENTAU Provide 200amp overhead service with a gang meter socket (including 3- 100amp, 24 circuit panels), install
Work 2 -3way switches for basement lights & repair one socket.
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: k.VM Date 06/07/2002
0 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
Oshkosh, WI WI 54903-1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOf H
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 /O "5 Qo
JOB ADDRESS Licao W&i goo
OWNER afbdi , f .
CONTRACTOR VV l �' �Ke �(�ri G Lr1C .
CHECK El ALL APPLICABLE
USE CATEGORY
❑ Single Family :Duplex XMulti [Mental DCommercial Dlndustrial
SERVICE ❑New ❑Temporary TYPE 40verhead ❑Not Applicable
)1Change ❑Not Applicable ❑Underground
•
FILL IN THE APPROPRIATE BLANK WITH TILE NUMBER
Volts /90 l a.7 9 Receptacles # Circuits #
Phase /
Amps X00 Switches # ( - 2 Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
DFan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors Gas Pumps El Other
DESCRIPTION OF ALL WORI5BEING DONE/fro!// do0 tt over /lead Sotr/iC?
Q_. // / _, 1 _ n 4/ — ZOO cQ r
/ .� [ / / // � 'I l / b !Ai / ice/ ' •
VALUE (Including labor and all m trial < incl a ng li fixtures) $ 0700
MASTER ELECTRICIAN ' AfTh
IP
n0 2/02