HomeMy WebLinkAbout0103786-Electric (receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
137 ALGOMA BLVD
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CONGREGATIONAL CHURCH
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103786
Create Date 08/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Provide and install one 110V recp.
Work
Fees: Valuation
Issued By:
$250.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 08/28/2003
Permit Voided
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.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
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.
AUG. L~. 8003 3: 43PM
. ~iry ~f Oshk~h
Division of In~pec~ou SedUces
P.O. ~x 1 D0
Phone (~0) ll~f0f0
Fax (910)
NITZKE ELECTRIC N0.560 P.6/?
ELECTRICAL PERMIT APPLICATION
All information after bold catc.gories must bc grovided.
Incomplet~ applications will not be processed,
O./HKOYH
· Application(s) and fee(s) can be brought to City Hall, Koom 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128, Commencing work without permiffs) will result in fees being doubled or $100,00 plus the
nomlaI permit fee, which ever is greater.
OR
lf vou are a contvt~etor t~artieirlotlrt~ i~ the Permit I~'ee dccoun! Sputum and hav~_adequate fJo~d$. ~heek here
L~ou want thi~ oroce.~l~d through vaur aee~tttlt ~
ALL APPLICABLE
USE CATEGORY
mSingl~ Family E~Duplex ~Multi-Family
SERVICE ~New E]Te~vorary
[2lCi~nge ~Not Applicable
~TLL IN THE APPROPRIATE BLANK WITH THE NL~IBER
Volts / Receptacles # ] Circuits
Phase.
Amps -. Switches # FixtUres
CHECK li~ ALL AI'PLICABLE
ORange l~Dishwasher OGarbage Disposal [2Dryer ElWater Heater
{~l~an OK Blower E]Furnace ~A/C F'2electric Sisn
[ZlMotors OOas Pumps [2Other ,
DESCRLPTION OF Ail. WOR.R BEING DONE
VALl,q~CIndadinglaborandallm ia lock aglil fl.x'tur~)$ ~,e,~O '~'