HomeMy WebLinkAbout0101772-Electric (fan)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
649 W 6TH AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES D DAHLKE
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 1
No 101772
Create Date 05/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/Wiring for bath exhaust fan.
Work
Fees: Valuation
Issued By:
$200.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 05/28/2003
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
MRY. L>7. £~39 3: 34PM
Division oflmpectioa Services
P.O. Box 1 DO
Oshkosh, WI $~g03.1130
Phone (920)
Fax (920)
NITZKE ELECTRIC
HO. 677 P.
ELECTRICAL PERMIT APPLICATION
Ali information af'~ bold ~:cgories must be provided.
Incomplete applications will nor be processed.
. · Application(s) and fee(s) can be brought to City Hall, Room 20~ or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work wi~out pen'nit(s) will result in f~s being ~loubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
!f~zou a~a a. eontra~tor t~artiet~atfne i~ tbs P_trrnit Fee rl~:coun, t System a~nd ha3Z~ ade. ouateJ'undL ch~ck her.
~ wa. Bt this ~roees~td thraueh your ttccottnt ~ - '
CHECK [] ALL APPLICABLE
USK_.~GAI~GORY
13G'ingle Family nDuplex r'lMulti-Family [=lRental
SERVICZ I:lNew _~.T~m~ .r~ TYPE
EICh~g~ [D~t~t Apglicable
FlCommercial ~ Indu.~L,'ial
[]Overhead f~"Applicable
IZlUnderD-ound
FILL LN' THE APPROPRIATE BLANK '*~TTH TIlE
Volts ...... / Receptacles ~
Phase
Amps Switches #
Circuiti #
trixtures #
CHI:CK El ALL APPLICABLE
~Ra~n OR ElDishwasher OGarbage Di$oosal []Dryer IZlWa~er Hea~er
glower IZlFumace []A/C ' IDEkctric Sign
[ZlMotors ~Gas Pumps [ZlOther