HomeMy WebLinkAbout0102677-Electric (new service)OSHKOSH
ON THE WATER
.lob Address 1008 E IRVING AVE
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DEAN P A HOFFMAN/SUSAN ROSENB
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102677
Create Date 07/07/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Provide & install new service and refeed circuits.
Work
Fees: Valuation
Issued By:
$1 ,$40.00 Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 07/07/2003
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. 7.2003 2: i1PM
P.O, B~
?hone ~920; 236-5050
NITZKE ELECTRIC N0.090 P.2/2
ELECTRICAL PERMIT APPLICATION
.4.il i?fOTl'~tiO= ~hCr bold c*tegofie~ must 5e ~rovMed
mco~lete appHcuior~ wfl~ ~o~ be processed.
O~M:osh WI 5~903-112B. Commencin~ work wi:hou; pe~t(s) wilI r~suk in fees being doubled Or S100.00 plus the
no~al pe~ fee, wMch ever is
OR
t!Muhi-Family
t~Not Applicable
FILL IN TIlE APPROPRIATE BL,4,'~K '~,ITH THE ~
Volts_ /~o / ~0 Recept~=Ie~ =
Amps /~ ~ Swkches ~
Circuits
Fixtures
CHECK [~ .~LL ;~PPLICABLE
VA~LD'Ig (Iucludlni; labor
· .. i~'A~T~R ELECTRICIA.N