HomeMy WebLinkAbout0124894-Electric (attic)
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OSHKOSH
ON THE WATER
Job Address 749 MOUNT VERNON ST
CITY OF OSHKOSH
No 124894
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
SKI HOUSES LLC
Create Date OS/21/2007
Contractor
WITZKE ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volt~;
Circuits
Luminaires
Switches
Receptacles
Appliances
Use/Nature of SFR / Remove tube-n-knob wire in attic. **DEBIT ACCT**.
Work
Fee....: Valuation
$1,500.00
~
Plan Approval __ $0.00
Permit Fee Paid
$77.00
Issued By:
Date OS/21/2007
o Permit Voided I
Parcelld # 1000610000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
PO BOX 102
OSHKOSH
WI 54903 - 102
Telephone Number (920) 235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
. Incomplete applications will no! be processed.
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MAY.21.2007 10:35AM
c.;lty 01 Uthkosh ,
Oivision of-.Ill$pecQotl, Services
P.O. Box 1.1'30
Oshkosh. Wl.54903..1130
Phone (920) 230..5050
Fax (920) 236.5084
WITZKE ELECTRIC
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· Application(s) and fee(s) can be brought to Cit)' Hall. Room 205 or mailed to Inspection Serrices, PO Box t 128,
Oshkosh Wl '54903-1128, Commencing work without permil(s) will result in fees being doubled or S 1 00.00 plus the
normal pezmlt fee, which ever is grearer,
OR ,
If v t1 lr Cf r Ii i rin ' In P ,fit;' F e
if VOIl walll rhz's tlroceHe.d tnro~~h ~'all~ a;co!;,'ll
JOB ADDRESS
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CONTRACTO~ VI (+ 2ke.- t.lecin'c... :L.nc-,
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DA TE .J,. a I - 0 '7
CHECK 5a A..LL APPLICABLE
l'SE CATEGORY
OSingle Family
ODuplex
(J:V!ulti-Family
~tal
CJ Commercial CJ IndUstrial
TYPE DOverhead ~Applicable
DUnderground
(
SER,Y1CE ONew
DChange
DTempon.ry
~App!icable
FILL r~ TID: APPROPRlA TE BL.~';K \'Y1TH THE ~l..~IBE.B
.
Volts
Phase
Amps
I
Receptncles #
Circuits '#
Switches #
Fixtures?
CHECK liJ.uL APPLICABLE
DRanee
DFan 'OR Blower
OMotors
DDishwasher
CJFumace
OGas Pumps
OGarbage Dispos:!l
ONe
o Other
DDr)'er OWQ,t~r Hea~~r
OElectiic Sign
DESCRIPTIOi'1 OF ALL \VORK,BEI~G DO:"'l"E
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\IA$TER EL~CTRlCIA.'i
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v ALL"t (Including I:l.bor nnd nl! m. tL!J1
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