HomeMy WebLinkAbout0100733-Electric (a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 240
940 WINDWARD CT
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 30
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CLIFFORD E LARSON
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 0
No 100733
Create Date 03/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances &/C
Use/Nature of SFR/Wiring for a replacement 4 ton A/C system.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/10/2003
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
Divisio~ of h~ec~ion Servicc~
P.O. Box 1130
Oshkosh, WI $490~-1130
Pho,~e (920) 236-5050
Fax (92o) 236-~os4
NITZKE ELECTRIC N0.242 P,3/3
ELECTRICAL PERMIT APPLICATION
All information after bold cate$ories mu~ be providect
Incompletc applications will not be pro~eaa~l.
Application(s) and fee(s) can be brousht to City Hall, Room 205 or mailed to Irupection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees bei~t ~loubled or $100,00 plus the
nonml l~nnit fee, which ever is ~eat~r. ' '
OR
~ t th' ~ h
Co~cTmt Wi+ 7-.kC, Ete6d'ri~ Sac. ~'tg -,.go aO
CHI[CK l~l ALL APPLICABLE
[~t~3ingle Family r"lDuPlcx ElMulti-Family
SERVlC~ ONew ~T~.i,~. orary
I-ICha~$e IM~6t Applicabtm
[2Rental
OCommercial [~Industrial
OOverhead [~pplicable
~lUnderl~mmd
FILL IN TI~ APPROPRIATE BLANK WITH THE ~
Volts &lq~ / .__ Receptacles ~
Phase _ / -
Amps _ '~ ~ Switch es ~_
Circuits
Fixtures
CHRCK E ALL AI~PLICABLE
V.a~LU'E (Includin~ labor and all m: tt, iai inelt, tall 11~ xmres) $ ~ __
,- ..,.. ~ ._ ~*~:+ F
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