HomeMy WebLinkAbout2003-Electric (receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
435 N MAIN ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner IVA K BRITTON
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 1
Switches 0
No 102566
Create Date 07/01/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Provide and install one 1 lOvolt receptacle for stereo to eliminate cord - per Fire Dept.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval $0.00 Permit Fee Paid
$20.00
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
JUM.24.200B ll:22AM WITZKE EL£CT~IC
N0.980 P.~
CiW of Oshkosh.
.Division
.P.O. Box 1130
O~b.kosh, WI $490]-1130
t~hone (920) 236-5050
Fax (920)
ELECTRICAL PERMIT APPLICATION
All m£ormsnon afar bold categories must be pmvlded.
· Applieatinn(~) and fee(s) can bo brought to City Hail, Room 205 or mailed to InSpection S~rvioos, PO Box 1128.
Oshkosh WI '541903-112g, Commonoing work without permit(s) will result in &cs being doubled or $100.00 plus tho
normal p~it fee, which over is greater.
OR
~~t F cc nt ' te nd ad uat und I
CO m ,CTOR 7_.kte, EI C-q-n'c 27n .
CllJgCK 1~I Al& APPLICABLE
USE CATEGORY
l:l$ingle Family L-IDuplex CIMuki-Family
SERVICE r'lNew UlTemporary
EIChange ~ Applicable
FILL IN TI~ APPROPRIATE BLANK WITH
Volts. ]~ [ Receptacles
Ph~e t
Amps ~0 Switches ~
Circuits
Fixtures
CI'[RCK l~ ALL APPLICABLE
l~Range ~Dishwasher
· tnFan OR. Blower 12Furnace
12Motors DGas Pumps
nGarbage Disposal
E1A/C
~Other
IDDryer
DElectric Sign
nwater Heater
VALUR (lucludMg labor and al
MASTER ELECTRICIAN