HomeMy WebLinkAbout0122749 E-VOID
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OSHKOSH
ON THE WATER
Job Address 912 N LARK
CITY OF OSHKOSH
No 122749
ELECTRIC PERMIT - APPLICATION AND RECORD
VOl D
Owner
RA YMOND/BARBARA J' FORES REV FAM' Create Date 11/30/2006
Contractor
WITZKE ELECTRIC INC
Category 634 - Residential-Service Change
. Change 0 Temp
o NIA
Type . Overhead
Plan
o Underground
Service
KJ New
120/240
100
Circuits
luminaires
Volts
Amps
Switches
Receptacles
L
Appliances
Use/Nature of SFR 1 ELECTRICAL SERVICE UPGRADE AND MINOR CODE REPAIRS **debt acct
Work
$1,150.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
. Fees:' . Valuation
Issued.By:
Date 11/30/2006 '
~ Permit Voided I
Parcelld #1603120000
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
POBOX 102
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 (Le. 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 ifthe inspection is not performed within two business days from the time the project is ready.
Y OV
NN0.157c /�• $�
.30. 06 12 07PM WITZKE ELECTRIC
.try of 20vsttkosb �`:
10. ..1;..N.
'ti Division of Inspection Services
P.O.Box 1130 \\
%I. lskh, . NOV 3 0fi
200 \.t.PhoaeOsos(920)
WI a36-soso349031130KBY
�J�(`
i • Fax (920)236.5084 -IKO H
1
ON THE W EF
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees being doubled or S100.00 plus the
normal permit fee, which ever is greater,
OR
1 v. a e • o .r. r. •ar 'ci.ar'n- .in. th- •er it ea c•u t v e a , h.v: -ad-o. t f nds he ere
iivorr wa IJAL processed tltra2bh ,your account
• DATE /l" 36 — _
JOB ADDRESS_ I a ts..).e t ��. ,
OWNER 'h # e.t (fl For eS
r r^
CONTRACTOR c+ Z enC .
CHICK 0 ALL APPLICABLE
L:BErextEGORY
leSIngle Family °Duplex DMulti-Family ORental 1:-.1 Commercial 0lndustrial
4 (6, SERVICE ❑New °Temporary TYPE at<erhead DNot Applicable
Lgergge °Not Applicable Olinderground
FILL IN THE APPROPRIATE BLANK WITH THE NT,IN BER
Volts tae) jay° Receptacles
Phase. I p Circuits
Amps / crO Switches
Fixtures
CHECK E7 ALL APPLICABLE
•
DRange ❑Dishwasher °Garbage Disposal ❑Dryer D\Vater Hea:cr
°Fan OR Blower OFumace OA,'C
❑Vloto,s ❑Elect-.ic Sift
❑Gas Pumps ❑Other
DESCRIPTION OF.LLL WORK,BEIN G DOPE , e cit ; C. - 4-t.I'c• - t .c1
---_ 1
VALL�
(Including labor and all mtarsal- incl .• ng Iia fixtures) S i/ 1 66
,:ASTER ELECTRICIANie' .t'
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