HomeMy WebLinkAbout0102325-Electric (service change)OSHKOSH
ON THE WATER
,Job Address 1843 HUBBARD ST
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HENRY A WRAGE
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102325
Create Date 06/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Change service.
Work
Fees: Valuation
Issued By:
$1,200.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 06/19/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
JUM. 18.2003 3:4?PM
WITZKE ELECTRIC
ELECTRICAL PERM IT APPLICATION
All infonmation after bold cate$ones must be provided.
lncornple:e applications will not be processed.
HO.92B P.8/3
~N TH~ WATER
· Application(s) a~d fee(s) can bc brought to City Italt, Room 205 o: mailed to ~ectto= Scmces, ?0 Box 1128,
Os~sh ~ '54903-1128. Co~c~g work withou: pe~it(s) will result in fees being doubled or $100.00 plus the
no~ ~: fee, wMch ev~ is ~.
O~
~f_~u are q contractor ~art~atin~ i~ the P~t F~e_Account ~y~t~ ~d_have ad~quat~un4s cl!eck ~er,q
iFvo:~ wanf t~is aroc~ss~d t~r~h your uccotlnt ~
CHECK E ALL AI~PLICABLE
I CATIgGORY
~Ic Family [3Duplex [~Multi-F~mily
CE ~New ~Tempom~
mge ~Not Applicable
~LL ~ T~ APPROY~ATE BL~NK
Volts
Phase
Amps .
C]R~ntal ElCommerciaI [3Industrial
TYPE J~verhead r'lNot Applicable
~Underground
Circuits
FLxtures
CHECK [~ ALL APPLICABLE
ORange F~Dishwasher [qGarbage Disposal
OF!n OR Blower OFumace OA/C
'VlMotom ElOas l~umps [ZlOther
scan, tos woa .rs DO tO_.
ODryer ElWater Hearer
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