HomeMy WebLinkAbout2007-Electric (repair)
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OSHKOSH
ON THE WATER
Job Address 930 WASHINGTON AVE
CITY OF OSHKOSH
No
126204
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GERALD P KARGUS
Create Date 08/10/2007
Contractor WITZKE ELECTRIC INC
Category 634 - Residential-Service Change
Service
b New
120/240
. Change 0 Temp
o N/A
Type . Overhead
Plan
o Underground
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of ~FR\ Repair service damaged by car. Update grounding per code.
Work
$250.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Fees: Valuation
Issued By:
Date 08/10/2007
o Permit Voided I
Parcelld # 1100470000
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 not be processed.
NO. 695, eJ P. 1/1... / ~ ... 0 7
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AUG. 10.2007 8:43AM WITZKE ELECTRIC
City of Oshkosh
Dj...is1on ofInspecdotl Services
P.O. :Sox 1]30
Oshkosh, WU4903.1130
Fho:oe (920) 230-5050
F~'( (920) 236~5084
-.
e Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without penni!(s) will result in fees being doubled or S 100.00 plus the
normal permit fee, which eyer is greater.
OR
u a a con raCl r fl'c val'n"" 'n l, e. rm'r F e
ifvo!l wanr this rJrocessed rhra/J~jl 'lOur acco~nr
JOB ADDRESS ~30 ~~S l{'\.~"cO'\ A~ ~
OYTh1:R ~--~it ~~~ ~
CONTR.<\CTOR W r t z.ke . t.fecin'c.J J...nc,
n..!.TE
8 ... J 0 ..0 ~
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CHECK ~ ALL .-\.PPLICABLE
t:SE~EGORY
~gle Family DDuplex O~1ulri-Family
SERv1CE g~ o Ternponf)'
BChange GiNo! Applicable
DRental DComrnercia] o Lndustrial
TYPE ~rhead ONOi Applicable
DUnderground
FILL I:"i TRE APPROPRlA TE BLA.;~:h: \\1TH THE ~"t;:V!BER
Volts
Phase
Amps
I
Receptl:lcles 'F.
Circuits #,
SWitches #
Fixtures "#
CHECK E:r ALL .l,PPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
DFurnacc
DGas Pumps
DGarbage Disposal
D.o\/C
OOther
DDryer D\Vorcr Heater
DElectric Sign
DESCRIPTION OF ALL \-'VORKI~Er:--;G DO:'!"'! ~,Q ('-' : c:....'liL
- ~ ~ ..t"-~ '-..~ 9~.1 <=-~ cl ~ '
~~o..~r
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. VALtrr; (Including l:zbor and ~1I m' tLiD'
~.5 c
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I
'~.j:\L~STER ELK CTR1Cl.-\..~
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