HomeMy WebLinkAbout2003-Electric (outlets)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1795 WEST POINT DR
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL G/HOLLY BELL
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 3
Switches 0
No 102569
Create Date 07/01/2003
Plan
~ Underground
Fixtures
Receptacles
0
10
Appliances
Use/Nature of COMM/ Install outlets for new equipment.
Work
Fees: Valuation
Issued By:
$1,000.00
Plan Approval
$0.00 Permit Fee Paid
$45.00
Date 07/01/2003
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
~UNo~4.200~ ~:43PM NITZKE ELECTRIC
~.gB4 P.272
ELECTRICAL PERMIT APPLICATION
Ail information afar bold cate§odes rnu~t be provided.
~complete applications will not b= processed.
Application(a) and f~(s) can bc brought to Cit~ Hall, Room 205 or mailed to Inspection Services. PO Box 112g,
Oshkosh WI '~4903-1128. Commencing work without permiffs) will result in fees being doubled or $ 100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a cOntraCtOr l~arti~t=atln~ i~ tie Permit Fee ~ccou.~ System and h~ve adeouate Fund,r. ctl~ck here
if volt want this erocessed through your ac~q~t~lt ~
CI:U~CK f~ .~LL A~PLICABLE
USE CATI~GORY
ElSin§le Family C1Duplex E1Muki-Family
SlIP, VICE ElNcw I~Temporary
ElChange ElNot Agplicable
[3Rental E:ICommercial [2lndustrial
TYPE E]Overhead DNot Applicable
IilUndcrground
FILL INTHE APPROPRL~TX BLANK %%7TH TH~
Volts / ,, Recepta=les
Phase __
Amps .. Switches #
Circuits #
l~'ixtures #
CHECK [~ ALL APPLICABLE
EIRange ~Dishwasher ~Garbage Disposal r'lDryer ElWater Heater
r'lFan OR Blower E]Yumaee EIA/C ~£lec~c Sign
'CIMotors IDOas Pumps I:lOther
DF~tCRIPTIONOI~ ALL WOP. X, BIIINGDONE~ff~-ff ~-._~' ~~--_i" '