HomeMy WebLinkAbout0124019-Electric (water cooler)
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OSHKOSH
ON THE WATER
Job Address 108 W NEW YORK AVE
CITY OF OSHKOSH
No
124019
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
OSH AREA SCHL DIST MERRILL
reate Date 04/02/2007
Service
p New
o Change 0 Temp
. N/A
Type
Overhead
Underground ~
Contractor
WITZKE ELECTRIC INC
Category 643 - Commercial-Addition/Remodels
Volts
Circuits
2
Luminaires
Amps
Switches
Receptacles
4
Appliances
Use/Nature of OMM (MERRILL MIDDLE SCHOOL)/ ADD RECEPTACLES FOR WATER COOLERS
Work,
Fees: Valuation
Issued By:
$1,500.00
LJ
Plan Approval
$0.00
Permit Fee Paid
$77. 0
Date 04/02/2007
o Permit Voided I
arcel Id # 1500680000
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 w rk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easeme t
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
PO BOX 102
Agent/Owner
OSHKOSH
WI 54903 - 102
Telephone Number 20-235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permi Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yo r Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rec ived. Work may
continue if the inspection is not performed within two business days from the time the project is ready
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APR. 2.2007 8:35AM WITZKE ELECTRIC
City of Olbkosh
Oivi~;~n of1t1Sp~ction Services
P.O. Box 1 DO '
Oshkosh, WI $4903-1130
Pbone (920) 236-5050
Fax (920) 236.50&4
NO.
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ELECTRICAL PERMIT APPL.ICATION
All information after bold categories must be ,provided,
Incomplete applications will not be processed.
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· Application(s) and fee(s) can be brought to City Hall, Room 205 or maikd to Inspection Se ices, PO Box 1128, .
Oshkosh WI 54903-1128. Cornmcnr:ing work without permit(s) will reslJJt in fees being do bled Dr S 100.00 plus the
normal pennie fee, which ever is greater.
OR .
r \lOU ar a rQcl,. ani' i ::Jlin 'n th~ p {17I(1 Fe rice
(fvoII W(l1l1 this rnocessed thrQu~h "'o~r at::col~/'If
DATE
}t) ~ cU )..J~lJ
JOB ADDRESS fl\e .( ~ ~ L \ M ~ ~~ l ~ SC\.o~\
OWNER c..,'f7 1~ O~~~:.'
CONTR4.CTOR Wltz.ke t:,{r=.clr,'c, J...r-,C.
CHECK er ALL AJ'PLICABLE
t"SE CATEGORY
aSingle Family DDuplex
O~lulti-Family
ORemal
o Commercial o Industrial
SERVICE ONew
OChange
Dr emporary
ONot Applicable
TYPE OOverhead
DUnderground
ON t Applicable
FILL I~ THE APPROPRlATE BL.-\.."iK \\lTH THE ~L~{BE~
,
Volts
Phase
Amps
I
Recepbc:les :;i
i
Circuits?
';J
S.wltches #
Fb;tures '#
CEtECK ftj ALL APPLlCABLE
ORan~e
OFan 'OR Blower
CJl'rJo tors
ODish\vasher
OFumo.ce
OGas Pumps
DGo.rouge Disposal
DA:e
o Other
ODryer \VQter Heatei
OElectric Sign
ALL "'VORK,BEI~G DO~"E
(S
\rASTER ELECTRICIA.'i'
,..
VALt:1: (In<:luding l:tbor :lnd :d! m' t!rf;J,1
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