HomeMy WebLinkAbout0104438-Electric (range)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
2339 HICKORY LN
WITZKE ELECTRIC
[~ New (~ Change (~) Temp
Amps 0
Owner
Category
MICHAEL P/SUZET LIZOTTE
612 - Residential-Single Family Addition/R
Type ~ Overhead
Circuits 1
Switches 0
No 104438
Create Date 09/29/2003
Plan
_~. Underground
Fixtures
Receptacles
Appliances Range
Use/Nature of ~FPJ Provide and install 4 wire range recp.
Work
Fees: Valuation
Issued By:
$150.00
Plan Approval
$0.00
Permit Fee Paid $20~00
Date 09/29/2003
E~ F'errnit Vo_ide~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKERAVE OSHKOSH WI 54903 - 102 Telephone Number 920-235-6572
To schedule inspections please call the Inspection Request line at 236-5t28 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
SEP.~6.a003 4:0EPM
Division oFlnsp~clio~ Services
P,O, Box ! ~0
~l~ae (~20~ ~-~0~0
F~x (~20) 23&.508~
NITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ail iaferma6on ai~er bold categories must bo provided,
~.con~l~c applicatio~ will not be processed.
, N0.~l P.4/6
· Appli~iion($) and fee(e) ~an be brough: to Ci~ ~all, Boom 205 or ~Wd to ~e~o= S~ic~, PO Aox 1 I28,
~sh ~ '5490~-1128. C~c~S work ~thout Pc~t(s) ~ result ~ f~s b=ins ~ubled or $100,00 Pl~e
n~ pe~t fee, w~h
OR
If you are a contractor oartlci~atine l~ t~e Permit F~o~nt System and have adeauate ~nds. eh~ck here
if va. want thi~ Orooe~e~thraueh your accounx
CI~,C~ ALL .~PLICABLE
US.~,,CATEGORY
t~5ingle Family r-IDuplox OMulti-Family
SERVICE ONew
ElChan~c E~ot Applicable
ElRental OCommercial OhtclustriaI
TYPE ElOverhead f~ot Applicable
[3Undersrouncl
FILL ~ Tltll APPROPRIATE BLANK %VlTH ~
Volts / Receptacles
Phase
Amps Switches #
Circuits #
Fixlures #
,I
CHtlCK [] ALL APPLICABLE
~ange []Dishwasher [Garbage Disposal [3Dryer ~Water HeaTer
~lean OR Blower [l~urnace r'IA/C ~Elec~e Sign
mMotors EiOas Pumps OOther
VAL'O'E (Indudlnl~ hbo
~IASTER ELECTR/CIAN <'2~q'I ''~' ''