HomeMy WebLinkAbout0102562 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
505 N WESTFIELD ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL J MCCLONE
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 102562
Create Date 07/01/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Water Heater
Use/Nature of COMM/Wiring for water heater.
Work
Fees: Valuation
Issued By:
$155.00
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
ELECTRICAL PERMIT APPLICATION
.-ti.: information ~ficr bo)d categories ~sr be provided.
ilO. 041 P. 3/3
· Appl:c,,mms.) e,, reefs) can be brough.: to C:.'y It:H). Room 20.4 or mai)ed to Lqs~ec:ion Scmccs, PO Box 11
Os~os~ WI 54903.1128. Co~enc~ng work w~:hout ~:Fs) w l r:suh {n I~s bring doubie~ or SI00.00 plus
no~a) pe .. l ,.. ~, .ch ever is
OR
/F vou are ~ oon~r~tor p~r;ic~p~n'~ ~ r;~ ~:,rmi~ ~:~e .4cc~.' ~ ~.rem Jnd ]l~'e "-~ *,, ' '
· ,.,,'-~ .... ;:~d~ f,~cc4' ke ':
DA~~
CHECK E ALL APPLICABLE
USE CATEGORY
ClSingle Family ~Duplcx rnMuhi.Family
SERVICE nNew ~]Tempora~'
~Change ~No: Applicable
r'lRental ~Q/Commercial ~lndustri.,l
TYPE 12Overhead ~Not Applir. able
~iUnderground
FILL IN THE APPROPRIATE BLANK W'iTH TIlE .N~IiMBER_
Volts__ t Receptacles a_
Phase _
Amps Swhch~s ~.
Circuits
CH~CK I;l .a.EL APPLICABLE
ClRange CiDishw~.sher ~G~,rbaie Dis*osal
nFan OR Blower ~Yumace F1AC '
.EJMotors i~G~s Pumps r"lO~her
DESCl~PTION OI*.~LL WORK, S£r.XG DOhT.~Dir?n~ .-~ff
k, .- VA.L~'~ (Includiaglabor and all
.~' ~VlA~TIi:R IIL~CTRICLL~
ElDr>.¢r t~Vater Ilea:er