HomeMy WebLinkAbout2003-Electric (wiring)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1126 PIERCE AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner VERNON W CARTWRIGHT
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 101908
Create Date 06/03/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for a range receptacle.
Work
Fees: Valuation
Issued By:
$200.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 06/03/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
JUH. 2.2003 2:lgPM WITZKE ELECTRIC
Ci~/of
Division oflnspecgon Services
P.O. Box I
Omhko~h, WI 54g05-1130
Pho,,e (920)
]Fax (920)
ELECTRICAL PERMIT APPLICATION
All information after bold c~te$ories must be prnv~ded.
Incomplete appli~alions will not be processed.
HO.?4S P.4/5
· · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspeotien Services, PO Box 1128,
Oshkosh WI '54903.1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal p~piit tee, which ever is greater.
OR
lf ~ou are a contraglo~c t~artict_t, ar~ne il the. Per~it Fee Account Svsaem and have_adeouatef~nd~_._check he_~e
i£ you want_ thts oroce, i~d throu~_h_ your accaunt ~
CI-I~CK [] ALL APPLICABLE
E CATEGORY
ingle Family E]Duplcx ~Multi-Family ~Rental
SERVICE EINew ~Temporary TYPE
~Chan{e ~o~ Applicable
ElCommercial E]LndustriaI
ElOverhead ~'qot Applicable
EIUnderground
FILL LN TH]~ APPROPRIATE BLANK WITH TIlE
Volts / R.e~eptacles ii__
Phase
Amps Switches #
Circuits
FL~tures
CHECK ~ ALL APPLICABLE
r~Kanse ElDishwasher [] Garbage Disposal ElDryer r-lWater Heater
EIF~ OR Blower ~Yumace ~A/C ~Elccmc Si~
~Mo~ors ~Gaz Pumps E] Oduer
~IASTER ELECTRICL~N rqf~v~x ! H Fl, ! I ~. ~-'~.
../
3102