HomeMy WebLinkAbout0100576-Electric (service)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
No 100576
JOb Address 1313 E MURDOCK AVE Owner JAMES E/JANE HOFFMAN Create Date 04/02/2003
Contractor WITZKE ELECTRIC Category 612- Residential-Single FamilyAddition/R Plan
Service ~ New (~ Change 0 Temp I Type ~) Overhead (~ Underground
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use/Nature of ~FPJ Update recp to GFR and separate circuits; remove 2 sconces and install wire for one sconce; remove old fan and install new
Work =an/light; add switch for light on exhaust fan and install timer for exhaust fan.
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 04/02/2003
[] 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. 1.2003 9:39AM WITZKE ELECTRIC ND.1S8 P,3/4
~it~ of Oshkosh
Division of ln~pectiou Services
P.O. Box 1130
Osl'dmsh, W'I $4903-11~0
( 2o)
Fax
ELECTRICAL PERMIT APPLICATION
All i~fomlatio- after bold catel~oriel m~at be p:ovlded.
In¢ornp]ete app]icatio-s wi]] nm be processed.
· · Applicalion(s) and fee(s) can be brought to Ci~ Hall Room 205 or mailed to Inspection S~'ices, PO Box 1 I28,
Oshkosh WI '~4~03-1128. Commencing work withouI p~nit(s) will r,sult in fees being doubled or $100,00 plus the
normal permit fee, whioh ever is
OR
fi_you are arr~cror ~artlctgitl_n~_ t~ tar Permit F~ ~ccount Sv~rleon_ and have ad _la~lll
~nt thi~mxed thro_llg_h your account ~,-
DATA
CHECK E .a, LT~ JkPPLICABI. Jg
Ub~E CAT~GORY
/~ingle Family r"lDuplex
ElMulti-Family
SERVICE [~Ncw ElTemporar~
QCl~n~¢ ~l/~o~ Applicable
r'lRental
TYPE
F1Commercial U]tndustrial
ElOverhead 2~lot Applicable
ElUnd~rltround
FILL IN THE APPROPRIATE BLANK WITH T}r~ NUMBER
Volta / Receptacles # /..
Phase
Amps Switches # /
Circuits #
Fixtures #,
CI~CK E ALL AI~PLICABLE
~Range ElDishwasher t2Garbage Disposal EIDryer ElWater Heater
~Fan OR Blower OF~cc ~C ~Elec~c Si~
~Moton ~Oas ~ps
VALI/~ (Ineluding tabor and ali m~ t, in inch ng Iii }~fixtures) ~U~ ,,
~ IT ~ -
3/02
CITY OF OSHKOSH
100576
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date04/02/2003
1313 E MURDOCK AVEJAMES E/JANE HOFFMAN
ContractorWITZKE ELECTRICCategory612 - Residential-Single Family Addition/RemodelPlan
ServiceTypeOverheadUnderground
NewChangeTemp
VoltsCircuits0Fixtures0
Amps0Switches0Receptacles0
Appliances
Use/Nature of SFR/ Update recp to GFR and separate circuits; remove 2 sconces and install wire for one sconce; remove old fan and install new fan/light;
Workadd switch for light on exhaust fan and install timer for exhaust fan.
Plan Approval$0.00
Fees: Valuation$500.00Permit Fee Paid$20.00
Issued By:Date04/02/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
PO BOX 102 155 E PACKER AVEOSHKOSHWI54903102920-235-6572
Address-Telephone Number