HomeMy WebLinkAbout0101009 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1907 JACKSON ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEFFREY J/JAMES JACOBSON
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 1
Switches 0
No 101009
Create Date 04/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of JACOBSON AUTO SALES / Install light pole with 3 lights & ground fault receptacle.
Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
$90.00
Date 04/25/2003
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,~.~00B 10:~?AM
City of O, hkosh
Division o~ ~spec~on Se~c~
P.O. Box 1130
Phone (920)
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ail infformstion after bold catcD:~rics must be provided.
Incomplete applications wi]! not bc processed.
--HO.347-""--'P.3/3
· · Application(s) and Ice(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 ~toubled or $100,00 plus
normal permit fee, which ~ver is ~reatcr.
OR
CHECK ~ ALL APPLICABLE
USE CATEGORY
I-ISingl¢ Family ElDup!ex EIMulti-Family
sz c lc] O rew _O rar
EIChan/e [~'~t Applicable
r~Rental
FILL IN TI~. APPROPRIATE B~ WITH T~
Volts / Receptacles
Amps. Switches #.
o[~ercial ~Industrial
[] Overhesd C~pplicable
ClUndergrotmd
Circuits #_ t~
FLx~ures ~ ~
CI-~CK ~ ALL APPLICABLE
ClRan~e UDishwasher
~l~an OR Blower l"tFumace
OMotors []Gas l%mps
OF ALL
E1Garb. ge Disposal I-1Dryer nWater Heater
UA./C EIElecu-ic Sig, a
VAI~UE (Including labor srid gli m;
MASTER ELRCTRICIAN