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OSHKOSH
ON THE WATER
Job Address 2330 WHITE SWAN DR
CITY OF OSHKOSH
No
123500
ELECTRIC PERMIT - APPLICATION AND RECORD
$,
Service
o New
o Change 0 Temp
Owner CHRISTOPHER J LAUFERlJ A NORDEN Create Date 02114/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits Luminaires 11
Switches 3 Receptacles 3
Contractor WITZKE ELECTRIC INC
Volts
Amps
Appliances
Use/Nature of SFRI Finishing a portion of the basement" to include a 13' x 27' (apprx) family room and closet. Seperate permits will be required for the
Work Ireplace and the electrical work. ".DEBIT ACCT".. .
$2,900.00
~
Plan Approval
$0.00
Permit Fee Paid
$94.00
Fees: Valuation
Issued By:
Date 02114/2007
o Permit Voided I
Parcelld # 1521520000
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. 14.2007 8:31AM
. City of Oshkosh
Dh'is1on of!nJp~ctiOI1 S~rvice.s
P.O. Box 1130 .
Oshkosh, WU4~03.1 130
Phone! (920) 236..5050
Fax (920) .236~S084
WITZKE ELECTRIC
NO.852"." P.1
... R. OR" _, __ ..._ ....
· Application(s) and fee(s) can be brought to City !i.Jj. Room 205 Dr mailed to Inspection Services, PO Box 1128.
Oshkosh WI '54903-1128. Commencing work wi thout pennit(s) Will result in ree, boin g doubled Dr S 100,00 plus the
normal permit fee, which eYer is greater,
OR .
If,. Q, Q e "' Q t_, oa",eIQQli~. ~n '" ~~ 'f F . A"
if ~'Ol/ lVanT this -o1'ocened thrOLl'i!'h ;0 lr ace Zl t
ELECTRICAL PERMIT APPLICATION
All information after bold cate,gories must be provided.
Incomplete applications will ,nor be processed,
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JOBADDR!SS_ )33() Whi~ SW~ lJn~e;
OWN'ER_ I!IJ rl-r; LdJ.lTer
CONTRA,CTOR..Witzke. E'eclri('~ Xr;,c.. :
DA TE .J-I'I-o 7
"
CE:ECK EJ ALL APPLICABLE
~E CA TEGORY
lR.,Single Family ODuplex D:VIUlti-Family
SERVICE ONcw OTernporll.I)'
OChenge ~ot .'\ppllc:able
ORemal
OCommercial o Indu,nrial
FILL 1~ THE' APPROPRlATE BLA"K \HTH THE ~1.:"\-r:aER
TYPE CJOverhead J>i4Not Applicable
OUr.d~rsround
Volts
Phase
Amps ~
I
Receptncles :::= . ~
Switches fit. 3
Circuits #-
Cl:{IC:K 8 ALL APPLICABLE
Fixtures # II &bns.---.-
DR.:ange
OFan OR BlOwer
ClMocors
ODishwa.sher
, OFUT11ace
o Gas Pumps
OGarbage Disposal
OA./C
o Other -.-
ODryer
OEkctric Sign
O\Varer Hc..rej
DESClUPTION OF .u.L WORK,BEI:iG DO:-i..i.----64.r~nd-/?:;M,4d
VAL t.:'1; (Including Illbor !!nd nIl m t rilll
:do {\ cI
11)
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.\rASTE~ ELECTR1CIA.~
fb:tures) L ';tf~tJ -.00
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