HomeMy WebLinkAbout2003-Electric (ceiling fan & switch)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2020 WALNUT ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DAVID S MILLER
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100809
Create Date 04/15/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for a ceiling fan and install a switch for the light.
Work
Fees: Valuation
Issued By:
$125.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/15/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
APR.11.2003 8:40AM NITZKE ELECTRIC N0.263 P,272
Dh, ision of L'~qpe~on Services
[5.0. Box 1130
Oshkosh, WI 54903-1 I30
Phone (920)
Fax (920)
ELECTRICAL PERMIT APPLICATION
All i~onmtton after'bold cate$ofies must be provided,
Incomplete applicntiom will not be processed,
. · Applioati0~(s) arid fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Sc, r,-iccs, BO Box 1128,
Oshkosh WI '$4903-I128. Comm~¢ing work without parfait(s) will r~sult in fees being doubled or $100,00 plus
normal permit fee, which ever is greater.
OR,
l_£_vau_art~co~Jcaclor~_ artfcipatine i~ the Permit Fee/f~cou~.$.y_~tern and have adeouat~_f_u~d.t.~.]~ctLhe~,
if you want thi~ vroces~ed through vou~' account ~
- ; --/ --~.-. . . -
CHECK ~[ ALL APPLICABLE
/~ CATEGORY
ngle Family ODuplex l-lMulti-Family
SERVICE E1New nTemporary
ElChang~ ~ot Applicable
[~Rental
TYPE
ElCommeroial I"lladustrial
OOverhead t[~ot Apglicabla
EIUnder~omad
FILL IN TI~ APPROPRIATE BLANK WITH THE ~ .NI~V~BER
Volts / Receptacles # Circuits
Phase
Amps, , Switches ~. Fixtures
CHECK ~ ALL APPLICABLE
VALUIi: (l. cluding I.bor and all m,t, al lnc]. n~ lie
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