HomeMy WebLinkAbout2003-Electric (dishwasher)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1235 WALNUT ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LISA M TATONETTI
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 0
No 101495
Create Date 05/15/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dishwasher
Use/Nature of SFR/Wiring for dishwasher, kitchen recp and bedroom recp.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 05/15/2003
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
MAY. 1~. ~
¢~ of O~hko~h
P.O. ~x 1130
~h, ~ 54~1130
P~ (920) 23~5~0
~x (920)
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incon~lete epplica~ons v~ll not be proccseed.
~0.552 P.2/2
.. · Applicatlon(s) and ice(s) can be brou~t to City Hall, Room 205 or meiled to Inspection Semces, PO Box l !28,
Oshkosh WI '54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus
normal pcn~t fee, which ever is greater.
OR
_if_yOU are a col~t1'actor ~.arttcfpating i~ tA~ ~errnit Fe~ ,4CCd~unt System and have tldeauate fundi._ cheek
if yo. tt want thi~ ~,oces.~ad thro, ugh vaur accogot- ~ '- '- -
com crou Wi -zka, Ela d-rl'6
CI~CK g ALL APPLICABLE
sE CATEG?.RY
ingle l:amily [3Duplex ElMulti-Faraily QReriteI
SERVICII ElNew C1Tcrnporary TYPE
ElChange /~Not Applicable
FELL IN TH~ APPROPRIATE BLANK %%'ITH TI~
Volts . / .. Receptacles
Phase
Amps Switches ~
ElCcmmerciaI [3Industrial
ElOverhead ~Not Applicable
E]Underground
Circuits
l~ixture~
CHECK E .M-L APPLICABLE
ElRange ~'Dishwasher
~Fan OR. Blower ~lFurnace
~Moto~ ~G~ Pump~
I"lGarbage Disposal QDwer
QA~C [~-lec~¢ Sign
· EtOther_ _
Water Heater
VALI~'E (Including labor and all mtt~iats inel+/n.g !