HomeMy WebLinkAbout0101771-Electric (service upgrade)OSHKOSH
ON THE WATER
.lob Address 412 WAUGOO AVE
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FRANCINE L KALOUS
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 2
Switches 0
No 101771
Create Date 05/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Furnace
Use/Nature of DUPLEX/Service upgrade, install 2 receps for water heater vents, and wire for furnace.
Work
Fees: Valuation
Issued By:
$2,050.00 Plan Approval $0.00 Permit Fee Paid
$75.00
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
Division of lnspecliou Services
P.O, Box 1
Osblcosh, WI $490~.1130
Phone (920)
Fax (920) 236-$084
NITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All in~ormstion al~cr bold c,,~e~ories must bc provi&d.
Incomplete applications will not be process=cl.
No.658
· · Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I
Oshkosh WI '54903-1 I28. Commencing work without permit(s) will result in fees being ~loubled or $100,00 pluS the
normal permit fee, which ever is ~'eater.
OR
IF you a,re a contractor varti '.eip_atin_~_.rh_e__P_e_r~ntt Fee .tccOunt Svstezn an~t haye~td.e~Uate f~t_n__d.~.._chec~ here
if.You wan.t this ~roe~.~ed throu?h vour.,,a,ecoun_~ ~
CI-~CK ~ ALL APPLICABLE
USE CATEGORY ~uple
EISingle Family x ~Multi-Family
SERVICE ONew E]Temporary
Ii~i'aanSe [ilNot Applicable
12Rental
TYPI~
EtCommercial 121adustrial
[~vv~head EINot Applicable
E]Undergrourid
FILL IN THR APPROPRIATE BLA=NK WITH TI:~ .'NTu~IBER
Volts
Phase
Amps ~
CHECK El ALL APPLICABLE
Receptacles #_ _ ~;l Circuits #
Switches # Fixtures #
C1R~nge ~D_~washer OOarbagc Disposal
CIFan OK Blower ~'~umace C]A/C
ClMotors ElOas Pumps r~Other
F'lDrycr I~Wa:~r Hea~r
[2Electric Sign
VALI/~ (Includfnll labor and nil m=
I%IASTER ELI[ CTIttCLLN'