HomeMy WebLinkAbout0100836-ElectricOSHKOSH
ON THE WATER
JobAddress 575 BOYD ST
Contractor WITZKE ELECTRIC
Service [~ New (~ Change (~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DENNIS P MCCARTHY
Category 623- ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 0
Switches 0
No 100836
Create Date 04/16/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Duplex / Replace switches, rec, fixtures & circuits as required resulting from kitchen fire, some new wiring.
Work
Fees: Valuation
Issued By:
$715.00 Plan Approval $0.00 Permit Fee Paid
$35.00
Date 04/16/2003
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. 16.a003 11:28AM NITZKE ELECTRIC
N0.~98 P.2/2
Ci~t of
Division oflnspect%~ Servlccs
1~,0. Box 11
Oshkosh, WI ~3-1130
Phone (920)
Fax (920) 236-~0~4
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be pro~ided,
Incomplete applicalions will not be processed.
· · Application(s) and f~e(s) can bc brought lo City Hail, Room 20~ or mailed to Inspection Sci'vices, PO Box 1128,
Oshkosh WI '~4903-1128. Commencing work without permit(s) will result in fees bcir~ doubled or $100.00 plus the
normal permit fee, which ever is ~eatcr.
OR
coN cro /i+zk El ,a+n' aa. _
CI~ CK [] ~ Ai~PLICABLE
USE CATEGORY ~
[]Single Family ElMulti-Family
SERVICE EINew C3Te_.~orary
~Changc ~lq'6t Applicable
[Z]Rcntal ElCommercial ~IndusMal
TYPE ~Ov~rhcad [i~.~l~'~ppli ~able
fflUnder~und
FILL IN THE APPROPRIATE BLANK WITH THE
Volts I Receptacles
Phase ..
Amps Switches #
Circuits #
FL~tures #
CItlICK [] ALL APPLICABLE
~Range ElDishw~sher ~Garbagc Disposal
~Fan OR Blower t-iFurnace ~A/C
ElMotors [] Gaz Pumps E] Other
DESCRIPTION OF ALL WORI~BEING DONE
ElDrycr
~Electric Sign
E~Water Hea~er
all miitt al ~ucl~nztis [fixtures)$
VALU~I (Includfns labor and
MASTER ELRCTRICIAN