HomeMy WebLinkAbout0101706 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
1822 MENOMINEE DR
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner TERI SHORS
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 2
No 101706
Create Date 05/22/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower & Garbage Disposal.
Use/Nature of SFR/Wiring for kitchen exhaust fan and garabage disposal.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 05/22/2003
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. 21. 2003 11: 16AM
C~ of Or, hlco~
Division of Inal~cdori Services
P.O.Box 1D0
Os~osh, ~ 54903.1130
~b~e (~20) 2t6.~050
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bold ca~egoges nl~ be provided.
Iacomplete applica~iom will not be proce~ed,
H0.632 P.2
~N TH~
: · .application(s) end fee(s) can bc brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '$4903-I lit. Comm~cirli work without permit(s) will result in fees being doubled or $100,00 plus the
normal permit f=e, which ever is gr~at~.
OR
_l['__you are__a contracxar t~arttc.~patiF~ in. the ~oermit ~'~e ,4ccount ~wrem and t~ave adeauate Funds_~c~eck kea'e
i~ou want tht~ processed th~ou~ Vou~ account ~ -
CHECK [] ALL APPLICABLE
ElCommcrciaI ~Indus~aI
[~Overhead o[~~t~plicablc
12Underground
FILL IN TItE APPROPRIATE BLANK '~'ITE TIlE
Volts I g-O / Receptacles ~
Phase t
Amps ___ Swttch~s #_
Circuits #~.
Fixtures #
CHIICI~ [] ALL APPLICABLE
~Dishwasher ~l~b~e Disposal
OR Blower rlYumace ~,~C
r"tMotors [] Gas Pumps nOther
D~ESCRIPTION OF .4,LL WORK, tiEING DOI~"E (_~__.~'/~,.%,
CllNTer ClWater Hea:er
[3Electric Si~
VALD'~-(Includin.* labor and al!
blASTER ELECTRICIA2~ ' ··
ILfixtures) $ n.~~ """