HomeMy WebLinkAbout0100734-Electric (receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
121 CHURCH AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOHN C/JULIE A MAY REV TRUST
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 1
Switches 0
No 100734
Create Date 04/10/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Install recp for copy machine.
Work
Fees: Valuation
Issued By:
$125.00
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
APR. 9.2~3 2:2?PM WITZKE:ELECTRIC
~E).242 P,2/3
City of O~o~h
Divtsio~ of'~,.specr~on Services
P.O. Box 1130
Os~os~ WI ~490~-I I30
Phone ([920) 23~50~0
F~ (920) 236~5~
ELECTRICAL PERMIT APPLICATION
All information after bold categories nv, tat be provided.
Incomplete appli~alions will not be procassed.
Of HKO_/H
ON THE ~MAT61~ --
· · Application(s) and fca(s) can be brought to City Hall; Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nortral p~-rait fee, which ever is greater.
OR
~ are_a.c~ontracror ~ar~tci~gJLn~ i~ the Permit Fee Account Evst~m and have edentate funds, chea~ It~.~e-
if you want thl~ pr(~ce~$~d through ~our aecoun~ ~ .....
sosn ss
.
CHECK [] ALL APPLICABLE
USE CATEGORY
f"lSingle Family UIDuplex ElMulti-Faraily
SERVICE ONew
E]Chan§e IsR~t Applioable
~]Renral
TYPE
~L'~ommercial OIndus~rial
ElOvarhead ~Applicable
OUnderHound
FILL IN THE APPROPRIATE BLANK WITH THE ]XtLrlWBER.
Volts /.~o I Receptacles # t
Phase ~
Amps ~. 0 S~tches g
Circuits
Fixtures
CH~CK [] ALL APPLICABL~
ORange EIDishwasher E1Garbage Disposal DDry~r OWater Heater
I-]Fan OR Blower r~Furnacc OA/C rqEle~lric Sign
OMotors OGu Pumps OO~er
DESCRIPTION OF ALL BEING DONE~ [
VALIY~ (Including tabor and all
MASTER ELE CTRI CIAN
fixtures) $ _