HomeMy WebLinkAbout2007-Electric (exterior wiring)
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OSHKOSH
ON THE WATER
Job Address 1740 RIVER MILL RD
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
i
No
125109
JAMES R1GLORIA KISER REV TRUST
Create Date 06104/2007
Owner
Contractor
WITZKE ELECTRIC INC
Category 612 - Residential-Single Family Addition/R Plan
,
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Applliances
Use/Nature of SFR / Wire for pump and dock receptacle. **DEBIT ACCT".
Work
Fee~;: Valuation
$500.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 06/04/2007
o Permit Voided I
Parcelld # 1224210000
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
,
Tell 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.
~
.:-
JUN. 4.2007 l0:30AM WITZKE ELECTRLC
City Clf Oshkosh
Ofvition 'of -Inspec:tion Services
P.O. Box. 1130
Oshkosha WlS4903.1130
. Phone (920) 236-5050
Fax (920) 236.5084
NO. 994
P.l
, I.,
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r.....
ELECTRICAL PERMIT APPLICATION
All information afier bold ca.tegories must be provided.
lncompll!t~ applications willeot be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S,ervices, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without pennit(s) will result in fees being doubled or S100,00 plus the
nonna] permit fee, which ever is greater.
OR ,
I Vou are a 0 ract r Da:rtid at;ll" ili I e Pn "f Fee
if YOll WL'''' Oris 'OLocessed rhrOlLlJ,h VQlU' accQul'l.,!
JOB ADDRESS~/'7<<? Ii'ler 14/11 R&a.d
Q\VNER J{Pfn~ f)lfu
CONTRACTOR~i+ z.ke Er~dr'/G :r:Y1G.
, DATE ill-tf-d1
CHECK 6!f ALL APPLICABLE
t:SE CATEGORY
~ingle Family
SERVICE aNew
OChange
ODuplex
Oyfulti-Family
o Renral DCommercial o Industrial
TYPE OOverhead ;{mot Applic~ble
DUnderground
_..'
o Temporary
~oc Applicable
FILL I~ THE APPROPRlA TE BL,.i..;'lK '''''IT.H Tm :-'l.~!BER
Volts
Phase
Amps
I
Rec:ept.o.des tf.
Circuits #-
SWitches #.
Fb:tures#
CRECK !i'I ALL APPLICABLE
OR.aMe
DFan 'OR Blower
OMotors
ODishwash~r
OFumace
OGas Pumps
o Gc.rbage Disposnl
OA:C
OOther
DDr):er D\Vater Heater
DElectric Sign
DESCRIPTION OF ..u.L WORK,BEI'iG DONE {;);nM {Qr- p.1.U-r>p '" dfJcL:-
~~~ ;
VALt:~ (bc:luding l:lbor llnd llll ro' tLl~l incl
fi:ttures) S "q)O.DD
Pl
6\0 ,
l~
,
~lIt
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