HomeMy WebLinkAbout0103969-Electric (receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1325 EASTMAN ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner UNITED CEREBRAL PALSY WlNN INC
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Type I~ Overhead
Circuits 0
Switches 0
No 103969
Create Date 09/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of MULTI-FAMILY/Install basement recp for freezer (new circuit).
Work
Fees: Valuation
Issued By:
$150.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 09/05/2003
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.
~ · ~ SER. ~.~0~ ~:2~M WIT~<E ELECTRIC
N0.665 P,
Ci~ of Osi~osh
Division of Impecdon Services
P,O, Box I
Oshkosh, Wl f4903-I
Phone (920) 136-$050
F~¢ (920) 236-$084
ELECTRICAL PERMIT APPLICATION
All iaforrnaliaa after bold cambrics mUsT be provided,
.Incomplete applications will not be proceseecl,
· · Application(s) and tee(s) ese be brought to City Hall, Room 205 or mailed to Impection So.ices, PO Box 1128,
Oshkosh WI '54903-112S. Commen¢i.~§ work without permit(s) will result in fees being doubled or $100 00 plu~ the
nonnaI permit fee, which ever iS ~r~r.
OR
lf vou want t~ir ~rn~erse2t throu~Lvour account
Ct:IIgCK I~ ALL APPLICABLE
USE CATEGORY
["l$insle Family DDuplex ~Multi-F~ly
SRR~C~ ~N~ ~mpora~
~ ~Not a~licable
~R. entel ~ommerci~l [3Industrial
TYPE i"lOverh~sd ~Not Applicable
~U~derground
FILL IN THE APPI~0PRIA~ BLANK WITH ~ ~_'U~fBER
Volts / Receptacles # /
Phase
Amps '- $witcb~ ~
Clrcu~
Fixtures
C'I:DiCK El' ALL APPLICABI.~
L-IRan~e I-IDishwasher t"lOerbege Disposal
r~Fan OR Blower ClFumace r~A/C
~Motors DOes Pumps OOther
DESCRIPTION OF AL,iL WORI~
VALT.~ (lncludinl labor earl all m~
MASTER EL~ CTRICI~N
BETNG DONE
E]Dryer ElWater Heater
ElElecrac Sign