HomeMy WebLinkAbout0102000-Electric (duplex service)OSHKOSH
ON THE WATER
.lob Address 821 W 9TH AVE
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEFFREY/ROXANE KNUESE
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102000
Create Date 06/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/New overhead duplex service.
Work
Fees: Valuation
Issued By:
$1,300.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 06/05/2003
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
.TUH. 5.2003 10:48AM
Division of lm'p~don Services
P,O. Box ! 130
~ax (920) 2~&.$084
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ail/nformadon &Rer bold c~tegodes ml~ be provided. ~
Incomplete ~pplicafions will not be processed.
HO.TC:j~ P.2/S
ON TH~ *~ATER
· Application(s) and £~c(s) can be brought to City Hall, Room 205 or mailed ~o Inspection Services, PO Box 1128,
Oshkosh WI '54903-112t/. Commencing work without permit{s) will result i~ fees beinl~ doubled or $100,00 pluS the
normal permit fee, wh/ch ever is/rearer.
OR
l[,vou are a c, ontracwr varti¢[l?~ltino~ l~ th~ Permit F.~ 2~apunr System and/tare ad~quare fun, iIs~:hecl Acre
L~vo, want this vroaesred throuc, h va~u~r account ~
co xm,,c'roa V/i+zke Etc 'r,'c
CI~.CK ~ ALL APPLICABLE
/~$E CAT~GORY
ingle Family
SERVICI!I DNew
,J~hanl/e
~Duplex ElMulti-Family
OT=mporary
~No: Applicable
l'lRcmal ElCommercial Eltndustrial
TYPI~ ~)verhead EINo~ Applicable
C1Underground
FILL I31 THE APPROPRIAT~ BLANK V~'ITIt ~ h'l.%l~ER
Volts /.~0 / ~O
~Phasei" _ / ,
Amps ~
Receptacles ~ Circuits
Switches # FLxtures
CHECK EI ALL APPLICABLE
.~IASTER £LECTRICIA.~ _. :p:"y'~ t ? v