HomeMy WebLinkAbout0101010-Electric (dryer)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1507 BOWEN ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner NOFFKE LAND CORP
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 0
No 101010
Create Date 04/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dryer
Use/Nature of SFR/Install 4 wire dryer rec.
Work
Fees: Valuation
Issued By:
$200.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
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.25.200~ ?:SgAM NIT2KE ELECTRIC N0.375 P.2/2
Division of Insp~ofion Services
?,O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Tax (920) 236.5084
ELECTRICAL PERMIT APPLICATION
All information aider bold cate$ories must b~ provided.
Incomplete applications will not be processed.
· Application(s) and fcc(s) can bc brought m City Hall, Room :205 or mailed to Inspect/on $erv/ces, PO Box 1128,
Oshkosh WI '54903-1 liS, Commencing work wlfltout permit(s) will result in fees being doubled or $100,00 plus
normal permit f~e, which ever is ~reater.
OR
If~v~Lare a contractor varttctvttHa~t i~ the ,Oerrnl.t Fee ,4ecouIl~vst~m and hav~.adeauate funds, ~heck hex,
'_~F_ou want this pr~ae~sed tkrdu~h your ac_c_ount
CHECK [~ ALL APPLICABLE
~ATEGORY
5[$ingl, Family [3Duplex ElMulti-Family [2Rental
SERVICE ~New l~l_T__?porary TYPE
~Change I~N~ot Applicabl~
l-ICommercial EILndustrial
~]Overhead [i~V~Applicablc
~Underground
FILL IN' THE APPROPRIATE BLANK WITH Tltll
Volts / _ Receptacles
Phase
Amps Swltcha$ #.
Circuits #_
Fixtures #_
CHECK [] ALI, APPLICABLI~
UR. angc ~Dishwasher ElGarbal~e Disposal
51Fan OR Blower ElFumace EIA/C
ClMotors r'lGas Pumps ~Other..
DESCRIPTION OF
VALUE (Including labor and all t
MASTER ELECTRICIAN
BEING DONE~
~ r'lWat~r Heater
[~Electric Sign