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OSHKOSH
ON THE WATER
Job Address 1932 MENOMINEE DR
Contractor WITZKE ELECTRIC INC
CITY OF OSHKOSH
No
125829
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner ROBERT L WESTON Create Date 04/23/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits Luminaires 5
Switches 3 Receptacles
Volts
Amps
Appliances
Use/Nature of SFRI Bathroom remodel* on the 2nd floor. No walls will be moved and no structural alterations are needed.
Work
Fees: Valuation
$950.00
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Plan Approval
$0.00
Permit Fee Paid
$60.00
Issued By:
Date 07/17/2007
o Permit Voided I
Parcelld # 1512440000
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.
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JUL.17.2007 10:30AM WITZKE ELECTRIC
City of Oshkosh
Division of InspectioI1 Services
P,O. Box. 1130
Oshkosh, WI 54903.1130
PhoDe (920) 236-5050
FlX (920) 236-5084
NO. 448 P.1
ELECTRICAL PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will nor be processed,
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ON.l"" WAn~
· Applicatlon(s) and fee(s) can be brought to CitY Hall, Room 205 or mailed to Inspection SerVices, PO Box 1128,
Oshkosh WI "54903-] 128. Commencing wOlk \vithou! pennit(s) will result in fe~sbe3ng doubled or S1 00.00 plus the
nonnal permit fee, whlch ever is greater, .
OR
! 1.1 rl1 COnlr Or rIte' r(n&" :n
jrvol/ W,~!H this lltqcessed IhrolJf!h !.lour a'C~!I~1
JOB ADDRESS 193~ /I1entJrnlliee Dr, VtV
OWNER Rober1- We&fun
CONTR<\CTOR 'vVitz.ke EIr:cln'6 :Inc.
, DATE ?../7-{)r
CHECK 0' ALL APPLICABLE
tf' E CA TEGORY
, Single Family DDuplex O:YIulti-Family
~_) SE "1CE ONew OTemporary
o Change ~ot Applicable
ORental DCommercia] 0 Industrial
TYPE OOverhead ~'iot Applicable
OUnc:ierground
FILL r~ rHE APPROPRIATE BLA..\"r,: \\1TH THE ~l..i:YrBER
Volts
Phase
Amps
I
Recept:l.cles r?
/
3
Circuits #-
I
S-
Switches #-
Fixtu res '#
CHECK Iii ALL APPLICABLE
CJRange
DFan OR Blower
O~vIorors
DDishwasher
OFurnace
o Ga.s Pumps
OG::J.rbage DispoSQI
OA;C
o Other
DDryer D\Vnter H~a:er
DElectric Sign
DESCRIPT10~ OF .-\.LL "VORK,B.E!~'G DO~tE r~Dde/ ~vt)'1J"YY')
VAL'G"E (Including lobar lI.nd all m' r ~lrJJ
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g ff-q
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