HomeMy WebLinkAbout0106458-Electric (hook up)CITY OF OSHKOSH
106458
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date02/13/2004
3761 GLENSHIRE LNDELAER INVENTORY NOT. 12-3-02
ContractorWITZKE ELECTRIC INCCategory610 - Residential-New Single Family ServicePlan
ServiceTypeOverheadUnderground
NewChangeTemp
Volts120/240Circuits0Fixtures0
Amps100Switches0Receptacles0
Appliances
Use/Nature of EDISON ESTATES/HOOK UP THE ELECTRICAL SERVICE BETWEEN THE PEDISTAL AND THE TRAILER. THE PEDISTAL IS
WorkEXISTING. NOTE: THIS WILL BE A TEMPORARY HOOK UP WITH 4 WIRE 100 AMP ALUM SE CABLE. THE PERMIT COST
INCLUDES HOOK UP IN SPRING.
Plan Approval$0.00
Fees: Valuation$1,000.00Permit Fee Paid$50.00
Issued By:Date02/13/2004
Permit Voided
Parcel Id #
In the performance of this work I agree to perform all work pursuant 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.
SignatureDate
Agent/Owner
PO BOX 102OSHKOSHWI54903102920-235-6572
Address-Telephone Number
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.
FEB.11.2004 1 :54PM WITZKE ELECTRIC N0.055 P.2
City of Osbkosis
Division of Inspection Services
P.O. Box 1130
_ Oshkosh, WI 54903 -1130
( Phone (920) 236.5050 •
Pax (920) 236 -5084 . • �� ""''��
0 4 TMi AT
ELECTRICAL PERMIT APPLICATION
All information after bold categories mast be provided.
Incomplete applications will not be processed,
. • Application(s) and fee(s) can be brought to City Hall, Room 205 or trailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permits) will result in fees being doubled or S 100.00 plu3 the
normal permit fee, which ever is greater.
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CHECK 10 ALL APPLICABLE
UST,CATEGORY
C eagle Family � ❑Duplex °Multi- Family °Rental °Commercial ❑industrial
SERVICE BKew OTemporary TYPE OQv end
OChange ONot Applicable °Not Applicable
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FILL LN THE APPROPRLATE BLANK WITH THE Mina
Voltse tat, r t a 40 Receptacles
Circuits
Am Switches
Fixtures # • '
CHECK 0 ALL APPLICABLE
[]Range DDishwasher ❑Garbage Disposal DD
❑Fan OR Blower OTurnace laA/C rY C7Water Heater
Motors °Gas Pumps ClFlccttic Sign °Other
DESCRIPTION OF ALL WOR1 BEING DONE
` VALUE (Including labor and all m t rta inct
1
fixtures) $ �, ,,@t +'1 ‘'E` /-'�'�
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