HomeMy WebLinkAbout0125648-Electric (upgrade)
G
OSHKOSH
ON THE WATER
Job Address 559 HAZEL ST
Contractor WITZKE ELECTRIC INC
CITY OF OSHKOSH
No
125648
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner THOMAS GALLEN Create Date 07/06/2007
Category 634 - Residential-Service Change Plan
o NIA Type . Overhead o Underground
Circuits Luminaires
Switches Receptacles 0
Service
o New
. Change 0 Temp
Volts 120/240
Amps 100
Appliances
UselNature of SFR 1 ELECTRICAL SERVICE UPGRADE **debt acct
Work
$1,300.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
Issued By: <=6YY\ ~
$77.00
Date 07/06/2007
o Permit Voided I
Parcelld # 1103500000
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 (Le. 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 PERMrT APPLICATION
All information af'ler bold calegories must be provided.
Incomplete applicalions will OO[ be processed,
NO. 334'ce.eJP .1/1 '>.. ~ . 0 ?
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JUL. 5.2007 2:30PM WITZKE ELECrRIC
City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone (920) 236-S050
Fa;t (920) 236-5084
o ApplioaIion(s) and fee(s) can be brought to City Hall, Room 20S or mailed 10 Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or SI 00.00 plus the
normal permit fee, which ever is greater.
OR
JOB ADDRESS S.5 l:} ~ ~~ ~.
O\\'I'fER -r~M.~ MJ~,,\
CONTR.l..CTOR Wit zke.. Efecin'c--, Xr)C,
DATE ?..S ~~7
CHECK Etl' ALL ,.;..P:PLICABLE
tS'P~TEGORY
~n~i~'FamiIYODuplex Oyrulti-Family
I, 0
~<::" SER.Y1CE uN~ DTemporary
(]t:'11enge ONot Applicable
DRental o Commercial o Indusrrial
TYPE ~head ONoe Applicable
DUndergrol..:nd
FILL I.:\' THE APPROPRIATE BL.-\...,r.: \\1TH TIrE ~L;-:\!BER
I
Volts
Phase
Amps
I ~O I ~ ~( &>
,
/C7l)
Receptacles ;:/-
Circuits "#
Switches #-
Fixtures '#
CE:ECK EQ ALL APPLICABLE
DRan~e
DFan DR Blower
DMotors
ODishwashcr
OFurnace
o Gas Pumps
OG:!rb!'!.ge DispoSJI
OA:C
DOther
DDryer O\VJ:cr Heater
OElectrlc Sign
}floP ~ ,'~J
~~...,( utl c:..~
. ~
YALt.JE (I~eJudillg labor and <:ill m tLin'
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~:-",:\r.ASTE:R ELECTRlCIA.."{
J 30'0 -
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