HomeMy WebLinkAbout0123231-Electric (basement)
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OSHKOSH
ON THE WATER
Job Address 925 PHEASANT CREEK DR
CITY OF OSHKOSH
No
123231
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JORDIS J BRICKHAM
Create Date 10/18/2006
Category 612 - Residential-Single Family Addition/R Plan
Contractor
WITZKE ELECTRIC INC
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
3
Luminaires
3
Amps
Switches
2
Receptacles
12
Appliances
Use/Nature of SFRI Finishing a portion of the basement' to include a storage and play area. "DEBIT ACCr',
Work
Fees: Valuation
$1,100.00
~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 01/19/2007
D Permit Voided I
Parcelld # 1342650000
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
AgenUOwner
Address
PO BOX 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 (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherw!se, 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.
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JAN. 19. 2007 7:29AM,' WITZKE ELECTRIC
. Oit,f' ~f b 'Sko 'h '
<d ""'-I,.,tp... " ,'.!e:...!lJ.
, " DiV1.dO~ or Inspectlon Services
P.O. Box 1130
Oshkosh, WI 54~03-1 130
Phone (920) 230.5050
Fax (920) 236';~084
_.-
ELECTRICAL PERMIT APPUCATION
All information after bold categorios must be provided.
Incomplete applications will r.IO~ be processed.
NO.589~~t.:.1/1/"'11"~7
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· Application(s) and fee(s) can be brought to City HaU, Room 205 or mai1ed to Inspection Services, PO Bo~ 1128,
Oshkosh WI '54903-1128. Commencing work without pennit(s) will result in fees being doubled or S 1 00.00 plus the '
normal permit feel which ever is greater.
OR ,
I u, a an ra l' a id at' t:1' , I! er ir
if VOII want this 7)1'ocessed rhrou~h vaur ~CC~L~
DATE
JOB ADDRESS cr C\ s 9 k ~ &\ So q. J t...r ~~~ ~ ,f,'..) '"
OWNER -:\"ct~I'B ~.t:~~M
,
CONTR:'\CTOR Witz.ke Eledn'~ XY)C.
CHECK 0 ALL APPLICABLE
US~EGORY
l3'S""ingle Family' ODuplex
O;v!ulti-Family
DRental
OCommercial , o Industrial
SERVICE ONew
CJ Change
gTe~orary
C3MOt Applicable
TYPE ClOverhead
OUnderground
FILL I~ TRE APPROPRIATE B1.~'fK \y1TH tHE ~1.r:vrBER
Volt.s
Phase
Amps
I
Circuits '#
Fixtures #-
CHEer.: 0 ..\1L APPLICABLE
ORange
CJFan OR Blower
O~Mocars
DDishwasher
CJFumace
OGas Pumps
OG:lrbage Di.5poso.l
DA:C
ClOcher
CJDryer
OElecrric Sign
DESClUPTION OF ALL \Y'ORK,BEI:.'iG DO!:'.'!:
w/,~
t
$~.s ~""~
/
VAL t1: (1nduding labor llnd llU m' [~rll11 incl
:\. rASTER !l! CI1U CI.A.. '-;
J, , 0"0 ,.
/~ 1,"0'7
t::IMO'rApplicable
.3
.3
OWorer He."" '" \ \)r
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fItJ'J-
j'd-
Fa~
-=?__J J"\,.'-t
-# 77 ,-
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