HomeMy WebLinkAbout0101705-Electric (correct violations)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1100 WAUGOO AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CHARLOTTE M DORMAN
Category 623- ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 2
Switches 2
No 101705
Create Date 05/22/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/Correcting code violations & installing 2 bathroom ground fault recps on sep circuits.
Work
Fees: Valuation
Issued By:
$585.00 Plan Approval $0.00 Permit Fee Paid
$25.00
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. ~1. £00~
P,O, Box I
F~ (920) ~6-5084
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ail hffo~fion after bold categories must be provided.
lacomplete applications will not be processed.
ND.632 P.3
O/HKO/H
.. m Application(s) and fee(s) nan be brought to City Iiall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '~4903-11:18, Commen~irig work without permit(s) will result in fees being doubled or $100,00 plus the
normal p~rmit fee, wkich ever is greater.
OR
£f voa arm a contractor ~artictp_~t(ne in tan Permit_~_ee ~lccount $_~$tam and ~ave a4eouate fund$, checkhere
1£ You want this oroeez~ed thr, ough your qccouqt ~
co mcTo Ela n'
CHI:CK [] ALL APPLICABLE
U$~' CATEGORY u~~plex
.,ugle Family
EtMulti-Family ~Rental
TYPE
SERVICE I-1New
Ii]Change
otA°rary
pplicable
Ii]Commercial CIIndustrial
~Overhead ~Not Applicable
~Underlp'ound
FILL IN TI~ APPROPRIATE BLA~NK %%7TH TH][
Volts / Receptacles
Phase
Amps _ Switches g
Circuits
Fixtures
CHECK ~ .~I.L APPLICABLE
~Rang¢ r'lDishwasher ElGarbage Disposal I-1D,o, er I-'IWater Hea~er
Ell:an OR, Blower ElFurnacc EIA/C ~Elect'hc Sign
ElMotors ~Ga~ Pumps [] O~er