HomeMy WebLinkAbout0102375-Electric (hot tub)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2695 TEMPLETON PL
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SCOTT A/STACY A HOFFMAN
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 102375
Create Date 06/23/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for hot tub.
Work
Fees: Valuation
Issued By:
$775.00
Plan Approval
$0.00 Permit Fee Paid
$35.00
Date 06/23/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
JUM.19.200B 9:23AM WITZKE ELECTRIC H0.934 P.2/2
G/HKO/H
ELECTRICAL PERMIT APPLICATION
All information after bold cate$ories nl~! be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can bc brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 i28,
Oshkosh WI '$4903-112g, Commencing work without permit(s) will result in fees bcin~ doubled or $100.00 plus the
normal permit ice, wh/ch ever is ~r~ter.
OR
if you want tiis ~roce~ed ~oueh vo~ a~count ~
CO CTOR + Ele n' . nc. ._
CI:[ECK [] ALL APPLICABLE
fATI~GORY
~: Family ~Duplex L-1Multi-Farnily C]Rental
SERVICE EINew 13ffempor~ry TYPI[
~Ch~e ~Not Applicable
ClCommercial E3Industrial
E~Ovcrhesd ~ot Applicable
DUndertFound
FILL L~ THE APPROPRIATE BLA~NK %¥'ITH THE
Volts / ,,, Receptacles
Phase
Amps , Switches #
Circuits #.
FLxtures ~
CI-IECK [] )J-,L APPLICABLE
ElRange UDishwasher ElGarbage Disposal ~lDryer
EIFan OR Blower rlFurnace DA/C ElElec~c Siva
'[~Motors ~Gas Pumps ~Other,.
VALUR (Xnelufling labor and all m
MASTER ELECTRICIA~
~Water t-Ies~er