HomeMy WebLinkAbout0101943-Electric (dryer receptacle)OSHKOSH
ON THE WATER
,Job Address 366 N WESTHAVEN DR
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ALAN A PURATH
Category 612 - Residential-Single Family Addition/Ret
Amps 30
~) Temp
Type I~ Overhead
Circuits 1
Switches 0
No 101943
Create Date 06/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dryer
Use/Nature of SFR/Provide and install 4 wire dryer recp.
Work
Fees: Valuation
Issued By:
$150.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 06/04/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
JUH. 3.2003 l:45PM NITZKE ELECTRIC
P.O. B~ 1130
0~ ~ ~4g03-1130
- MO. ?G2---n°. 2/~ ...........
ELECTRICAL PERMIT APPLICATION
Ali/afOrrmg/on after bold camgofles must be prov/ded.
IncompJete al~l~ca~om wfl] not be pn~ce$~ed.
ON TW~
.. · Application(s) and fee(s) can be brough: to City Hall, Room 203 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 'S4903-1128. Commencing work without perwJt(s) wil! result in tees being c~oubled or $100.00 plus the
normal permit fee, which ever is greater. ·
OR
u an t ts r c · h u 9 r c nt rn ~ a a tt t~ ttd ch k r
FILL IN' THE APPROPRLiTI[ BLA~NK WITH T~ ~
~Commercial
r'lOverhead
~Underground
Volta_ /:tO / aqO Receptachs~ /
Amps .~3 ~ .-~ Swttebes#
CI-~CK ~ .4~LL APPLIC.:LBLE
C3Range C~Dishwasher ~Garbage Disposal
C[Fan OR Blower ~Fumace CIA/C
F1Motors ~Gas Pumps iSOmer
/~Industrial
[2/q~"'Applicable
Ctrcuit~
Fixtures
~Hf~er 12Wa:er Heater
DElectr/e Si~
(Including labor and all m ial~in xtures) S