HomeMy WebLinkAbout0102234 EOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
JobAddress 675 OLSON AVE Owner KEITH/JENNIFER BELL Create Date 06/17/2003
Contractor WITZKE ELECTRIC Category 612 - Residential-Single Family Addition/Ret Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Switches 0 Receptacles
Amps 0
No 102234
Appliances
Use/Nature of SFR/Install 3 tandum breakers in panel to eliminate doubling up wires. Panel rated for tandum - strap wires @ panel to comply with code.
Work
Fees: Valuation
Issued By:
$140.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 06/17/2003
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
Ci~, of O~l~o~h
Divisio~ of'I~pec~on
P.O. Box 1130
Os~osh, ~ 54903.11~0
Pho~ (920)
F~ (920) ~6-~0S4
WITZKE ELECTRIC
.... -H0.899 ...... P.2/2~'~
ELECTRICAL PERMIT APPLICATION
AI~ ~£ormation after bold categories must be provided,
Incomplete application~ will nor be proces~d.
· Appliesdon(s) and fee(s) can be brought to Ci~ Hall, Room 205 or ' ·
Os~osh ~ '54903-1128, Co e ~ ....... ~ ...~.~ ......... ~fle~ to ~poc~on So.ices. PO ~ox ~8.
~ nc...s --u~ w~mou[ P~It[S) Mil result in fees ~ing doubled or $100,~lpl~s ~e
no~ p~t ~ee, w~ch ever is ~.
OR
coNr czo W '+
C~Single Family C3Duplex
SERVICE I~New
~Chsnse
~Multi,F~rnily l~Rental
~c ..~.~w. rary TYPE
Let~t ^Pplicablc
FILL IN THE APPROPRIATE BLANK ~.57TH THE
Vol~s , /
Phase- - Receptacles
Amps _
- Switches #,
IDCommcrciat ~Induslrial
~Overhead L-'l~lY~'pplicable
[~Under!rround
Circuits #_
Fixtures ~
CHECK [] ALL APPLICABLE
F1]~a=ge ElDishwasher r'lO~rbage Disposal ~er ~Water H~a~er
DF~ OR Blower ~Fumace ~C ~Elcc~c Si~
V~ (Includfn~ l~bor m --
~R Z~C~
a/oa
~ JUM.IG.200B 12:SBPM NITZKE ELECTRIC NO.Bg9 ..... P.1/2 ....... -
RImidential, Induetrbll and Commemlal hl~tallal~one
1~ E. Pm=kef Avenue Post Off?ce Box
Oahkosh, Wisconsin
Phone (e20) 25~-6572 FAX (920)
_FAX COVER SHEET
DATE:
COMPANY: City of Oshkosh
CoJlecUons
TIME:
ATTENTION:
PHONE:
FAX: 236-5084
FROM: Vesta Bums
REFERENCE: Electrical Permits
PHONE (920) 235-6572
FAX (920) 235-8582
NUMBER OF PAGES INCLUDING COVER ;SHEET,