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HomeMy WebLinkAbout0101945-Electric (receptacles)OSHKOSH ON THE WATER Job Address Contractor Service Volts 1322 POWERS ST WITZKE ELECTRIC [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner SUSAN E 7ABEL Category 612 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 0 Switches 0 No 101945 Create Date 06/04/2003 Plan ~ Underground Fixtures Receptacles Appliances Range Use/Nature of SFR/Provide and install 4-wire range recp. Work Fees: Valuation Issued By: $200.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 06/04/2003 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 JUN. 3.2003 1:46PM Division oflnspccti~u $~v,,iees P.O. ~x 1 ~30 O~s~ ~ ~4903-1130 Phone (920) 23~0S0 ~ (920) 236-50~ .o NITZKE ELECTRIC .... N0.762 P.4/4 ELECTRICAL PERMIT APPLICATION Ali information after bold ca~liories must be provided. Incomplet~ applications will not be procese=d. Applicallon(s) smd £et,(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box l 125, Oshkosh WI '$4903-I 128. Comm~cing work without permit(s) will result in fees being ~oubIcd or $100,00 plus the normal permit Ice, which ever is ~¢ater. OR  I: CATEGORY ingle Family L-'IDuplcx DMuki-Family ORental S~RVICE ONew OTcmporary TYPE C1Chang= ~Not Applicable FILL L'~' THE AI~PROPRIATi~ BLANK WITH THE ~ [] Commercial [] Industri al OOverhead ~No~ Applicable []Underground Volls ' / Receptacles # / Phase __ Amp~ Cir~its ~__ - -- Switches .ii Fixtures .~ CI-IIiCK lg ALL APPLICABLE ~ange ~Dishwa-~her ~Fan OR Blower ClFumace ~Motors r'loas Plh'nps EiGm-bag¢ Disposal OD~er CIA/C l~Warer Hea:~r O0ther = OElecmc Sign