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HomeMy WebLinkAbout0101910 EOSHKOSH ON THE WATER .lob Address 721 E MELVIN AVE Contractor WITZKE ELECTRIC Service [~ New (~ Change Volts 120/240 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner NElL H/GAlL L HINTZ Category 634- Residential-Service Change Amps 100 ~ Temp No 101910 Create Date 06/03/2003 Plan Type I~ Overhead ~ Underground Circuits 1 Fixtures Switches 0 Receptacles Appliances Use/Nature of SFR/Electrical service upgrade and relocate basement romex to code. Install 4 recps (1-kitchen, separate circuit, 2-kitchen counter, 1 GFR Work outdoor by deck). Fees: Valuation Issued By: $1,540.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 06/03/2003 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920-235-6572 NITZKE ELECTRIC N0,745 P.2×5 JUN. E~.£003 ~: 19PM City of Oshkosh Division of Inspection Os~ ~ 34903-1130 ~e (920) 23~50~0 F~x (920) ELECTRICAL PERMIT APPLICATION Ail information after bold c~egofies mus~ be provided. Incomplete applications will not be processed. ~N T-I~ E WATIH~ · · Applic.don(s) and fee(s) can be brought to City Hall, Room 20:$ or ma/lcd to Mspec~on S~ces, PO Box 1128, Os~osh ~ '54903-1128. Co~encing work without pe~it(s) will result in fees being doubled or $100.00 plus the noel pe~t fee, w~ch cv~ is ~at~. OR If you are a ~ntractor. varHc~a~fn~ i~ theft Fee ~ccount System and ~ave adeau~nds, ch~ckhero ~f you want thi~ ~roeqg~e_d th~oueh your acaou~l CHECK [] ALL APPLICABLE Us~in~ATEGORY ]e Family nDuplex []Multi-Family SERVICE ~nge ElTemporary F1Not Applicable U1Rcntal TYPE [] Commercial [] Lndustri al I~erhead []Not Applicable ClUnderground FILl, IN TH]il APPROPRIATE BLANK WITH THE N'UMBER Volts /D~ / ~a-/O Receptacles # F Phase [ .... Amps / tO g~9 Switches # Circuits# / Fixtures # CttECK [] ALL APPLICABLE 12Range DDishwasher EiGarbage Disposal DDryer FIWater Hea:er ~Fan OR Blower OFumac¢ EIA/C IZ1Electnc Si~ I-IMotor$ []Gas Pumps [ZIOther VALT~'E (Including labor and all mlttrials lncl+tng Ii ~,ASTEI~ELECTRICL. L%' __ t_'~'~,i