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o
OSHKOSH
ON THE WATER
Job Address 1627 DOTY ST
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
123379
Service
b New
o Change 0 Temp
Owner CHRISTINE E REICHARD Create Date 01/09/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 5 Luminaires 3
Switches 2 Receptacles 14
Contractor WITZKE ELECTRIC INC
Volts
Amps
Appliances
Use/Nature of SFR / REWIRE BASEMENT AND BATHROOM (Repairs and code corrections following water damage.) "debt acct
Work
Fees: Valuation $4,000.00
Issued By: ~~ j-
Plan Approval
$0.00
Permit Fee Paid
$111.00
Date 02/01/2007
D Permit Voided I
Parcelld # 0305920000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
PO BOX 102
OSHKOSH
WI 54903 - 102
Telephone Number 920-235-6572
,
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
i
FEB. 1.2007 8:17AM
Cit)' OfOshkosb.
/ OMsion of Ins~etionServic!$
P.O. Be" 1130
Oshkosh, WI 54903.1130
Phc~e(~20}236-S0S0
Fax J920) 236:-5084
WITZKE EL.ECTRIC
NO. 735 P.l
RECEIVED
(fJ
. OIFjKOfH
ON k~ WAT,,~
!
.I
FEB 0 1200 r
E~~:rT~ti~~';.r_._
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to,City Hall. Room 205 or mailed toInspection Services, PO Box 1128,
Oshkosh WI 54903-1128, Commencing work without permit(s) will result in fees being doubled or Sl 00.00 plus the
normal permit fee, which ever is greater. '-
OR . .
Vou ore c I'Q or articf tin (n he I!r r
'{vall wdl'lt rhis rJ,.oc~sied UH'Qu,h v~lIraCC~JI'i:2
JOB ADDRESS /~~? /J()t1f Street-
. O'VN'ER(1iJ;/~ ~)dJ~/d.
CONTRACTOR \Nf+-z.ke-Efccln'6 :ene.
DA'I'E . 2_/w 0 7
CHECK [i:l.A.LL APPLICABLE
CSE C.~ TEGORY
tJSingle Family
ODuplex
OyIulti-Family
DRenral CJCommercis,l Ol:ndustrial
Ti'PE DOverhead ClNot Appliciilble .~
o Underground
-
SER\'1CE ONew
DChange
DTemporary
c:;JNot Applica.ble
FILL 1:-; TEE APPROPRIATE BL-\..'{K \\lTH THE );tr:\ofBER
"
Volts / Recept.acles #. /~ Circuits '#. 5/
Phase ~ \3
Amps Switches #- Fbt~res '#
CID:CKitJ ALL APPLICABL.'E
ORange
OFan OR Blower
QMotors
ODJshwasher
CJFurnace
OGasPumps
OGJ.!'bn,ge Dispos::lI
D..i,,'C
DOther
DDryer D\V:\ter He~Hcr
OElectric Sign
. DESCRIPTION OF ALL \VORK,BEI:'iG DO~"E l?ettJl;61>>~;. "- ~
v . " I
AL UE (Including l:lbor :lnd :Ill m' r ril:ll ind
~ /ftJoo, 00
:'frASTER ELECTRJCI.-\..~
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