HomeMy WebLinkAbout0101049-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 3763 GLENHURST LN
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARION SCHULTZ
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101049
Create Date 04/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of MOBILE HOME/Replace pedestal - the ped. is rated 100amp. There will also be a 50amp rec for existing trailer.
Work
Fees: Valuation
Issued By:
$750.00 Plan Approval $0.00 Permit Fee Paid $35.00
Date 04/28/2003
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
ii,-
~PR.2B.2002 9:591:tH
Division d lmpecdon
P.O. Box 1130
O~oe~ ~ ~4~3-11~0
Phone (920)
~ex (~2o)
NITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All infonnedor~ a/~er bold careSoriee mu~t be provided.
Incomplete applications will nor be processed.
--H0.395--' P.2/2 ............
ON TM~ WATER
· Application(s) and fee(s) can be brought to Citl/Hell, Room 20~ or mailed to Inspection Services, ?O Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is ~reater.
OR
JOB ADDI~SS~
CHECK I~ ALL APPLICABLE
U__S ...,~CATEGORY
Family I-IDuplex I"lMulti-Famil¥ I~P, ental
SERVIC~I nNcw ElTemporary TYPt:
[~lC'~n gc [2No~ Applicable
i~Commcrcial ~Indus~riil
ead ~Not Applicab]~
~'ound
}'ILL IN TIIE APPROPRIATE BLANK WITH THE
Vol~s t,7~ / ~V_O Receptacles
Phase ~
Amps _ /~ Switches ~
Circuits #
Fixtures #
CHECK 1~ ALL APPLICABL:E