HomeMy WebLinkAbout2003-Electric (attic)OSHKOSH
ON THE WATER
Job Address 367 ROSALIA ST
Contractor WITZKE ELECTRIC
Service ~) New O Change O Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RAYMOND F TILLWACH
Category 612- Residential-Single FamilyAddition/R
I Type (~) Overhead
Circuits 0
Switches 0
No 104197
Create Date 09/16/2003
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Nature of ~FR/Remove exposed tube and knob widng in attic.
Work
Fees: Valuation
Issued By:
$350.00 Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 09/16/2003
[] Permit Voided
In the performance of this work I agree to perform all work pumuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKERAVE OSHKOSH WI 54903 - 102 Telephone Number 920-235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
SEP.15.8003 3:35PM WITZKE ELECTRIC
N0.768 P.3/4
ELECTRICAL PERMIT APPLICATION
All information after bold c~orie$ mu~ be provided,
Jaeo,~'zplc~e appjicatlo~s will nor be processed,
. · Applicatio~(~.) and fee(s) can be brought to City Hail, ~oom ~05 or ~led to ~spec~on S~ces, PORox 1128
Os~o~ ~ ~4903-1125. Co~encin~ work ~out pe~t(s) ~11 resul~ in fees bcin~ ~o~led or $100,00 plus ~
n~l ~ fac, wMch e~ ~ ~ster.
DCommercial ~IndusuiaI
TYP~ [:]Overhead ~ot Applicable
VlUndcrground
FILL IN TI~ APPROPRIATI] BLANK WITH T~Lg
Volts _ / Receptacles
Phase , '~
Amps., Switches #,,,
Circuits#_
r'lGarbage Disposal DDryer EIWater Hea~cr
EIA/C Ell~lecuic Si~
~Other -~
VA.LIJR (Including labor and all m: ~.~l~ aa ltl fixtures)
, 5