HomeMy WebLinkAbout0102730-Electric (ceiling fan)OSHKOSH
ON THE WATER
JobAddress 656 BOYD ST
Contractor WITZKE ELECTRIC
Service [~ New (~) Change (~) Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WANDA J TIMM
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 102730
Create Date 07/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Reinstall ceiling fan per code.
Work
Fees: Valuation
Issued By:
$272.15
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 07/09/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
JUL. ~.200B 11:14AM
Os~os~ WI 5~903.] ]~0
Phone (930) 336-50~0
Fax (920) 236-50~
NITZKE ELECTRIC
1,{O. 125 '
ELECTRICAL PERMIT APPLICATION
Ai! ~.£ormation after bo]d categories muse be pro~idcd.
Os~osh WI 54903-1128
· Commencin~ wor~wi~houtp~iffs) ~il] ~$uh ia - PO ~ox 113~.
~.~. w~jch ever ii
· f~es being double~ or S IO0 O0 plus the
{~Duplex []Multi-Family
u~r~o~ .~.up ~acle
FILL IN TIlE APPRoP1UfATE BLANK '*~'fTH THE hl,.%IBER
Volts , /
~hase~ Receptacles ~
Amps ~ -
Switches ~
Circuits
F xtures
CI~ECK ~ A.LL .APPLICABLE
ORange IDDishwasher
E]Fan OR Blow~ ~F~ace
~Motors ~Gas Pumps
~ - V'a~LUE (Including labor rand
~' bIASTER ELECTRICIAN