HomeMy WebLinkAbout0101944 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
319W MELVIN AVE
WITZKE ELECTRIC
New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GARY L BUNKE
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 101944
Create Date 06/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for 110V range recp and 220V dryer recp.
Work
Fees: Valuation
Issued By:
$300.00 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. B. 2009
NITZKE ELECTRIC
· NO. 762 · P. 3/4 ...........
ELECTRICAL PERMIT APPLICATION
Ail fifformation after bold categories must be Provldcd.
l~,complete applicatio~ Will not be processed.
· Application(s) end fee(s) can be brought to Oil), Hail, Room 20~ or mailed to Inspeotion Set.Aces, PO Box 1120,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees bei~8 doubled or $100,00 plus the
norma! pcn-~z fee, which ever is greater.
OR
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JOB ADDI?.~__ ,~/~ ~,~). /~///,//,~ DATE_~~.,.~
CH~CK iE' ALI, ~LICA~[~
~Singie F~ly ~Duplex ~Mulfi-F~ily
~ER~CE ~N~
~Temp~
~C~gc ~o~ Applicable
FILL IN T~ APPROP~TE BL~K %~TH ~ ~
Volts. / Receptacles ~
Phase ~ ~ ~
Amps ~wi~ches ~
CHECK g ALL APPLICABLE
Circuits #.
Fi.~ures #
VALUE (In~lud;ug labour an~ all m~