HomeMy WebLinkAbout0126372-Electric (receptacles units 48,49,50,70)
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OSHKOSH
ON THE WATER
Job Address 215 DIVISION ST
CITY OF OSHKOSH
No
126372
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
SHIVA CORP
Create Date 08/21/2007
Contractor
WITZKE ELECTRIC INC
Category 643 - Commercial-Addition/Remodels
Plan
Service
o New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
12
Amps
Switches
Appliances
Use/Nature of rrown Motel/Install 12 receptacles for HVAC systems in rooms 48,49,50 & 70. **DEBIT ACCT**.
Work
Fees: Valuation
$1,200.00
~/O
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 08/21/2007
o Permit Voided I
Parcelld # 0101360000
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.
~
AUG. 20. 2007 3:36PM WITZKE ELECTRIC
CiTY of Oshkosh
D;\'ision ofIns~ec:riolJ S/;rviees
P.O. Box Il30
Oshkosh, WI S4903.] 130
Phon!: (920) 236-5050
Fa~ (920P36-S084
NO. 770 P.l
ELECTRICAL PERMIT APPLICATION
All information after bold categories mUst be provided.
Incomplete applications will not be processed.
~
QJHKOJt]
ON TM. W.Aj~R
· Applicarion(s) and fee(s) can be brought to City HaJl, Room 205 or mailed to Inspection Services, PO Bo;.; 1128!
Oshkosh WI S4903~1128. Commencing work without permit(s) will result in fees being doubled or S1 00,00 plus the
nonna] permit fee, which ever is greater.
OR
If vOIJ re a C NJ ,. a,.licf i!'l. 'nl,,~ , ~~m"l F
f( vOu W(]II: this t:Jrocessed throll;" vo;" aCCOl (
e
JOBADbRESS J./5 DIVISIOn
OY\-'7't."ER IotLJY)JLI~W""Ur..~J
CONTR<\CTOR Wit z.ke Ete.clr,C'", X~C.
bATE p... ~o...o 7
CREeK E2J .-\lL APPLICABLE
t;SE CATEGORY
DSingle Family
;235 - ~ 57:<'-
DDuplex
O~fulti-F~"!1ily
DRental
TYPE
)(commerCial 0 fndustrial
DO\"erhead ONOi Applicable
DUndergrol.lnd
~":".! SER"1CE ONew
OChange
DTemporary
DNot Applicable
FILL I:> TIlE APPROPRlATE BI.A.-';l-,: ;\1TH T~ "7E~
Volts / Recept:lcles ~
Phase
Amps Switches '#
Circuits '#
Fixtures #
CHECK IiJ ALL APPLICABLE
ORange
DPan OR Blower
OMotors
DDishw2sher
OFurnace
DGas Pumps
OG~rb!!.ge Dispos:1l
OA.'C
DOther
DDryer D\V!ltel' He~1e:-
DElectric Sign
~::;1f:\ !.-\STE:R ElE CTRI CIA.. 'i
D!;;S CRlpTY ON OF ALL WORK, BEl:> G D 0,,-.: iJ'l Sfo-t/J'1 /.d 11' ft ";Ofm4-f' . ~
- Sa"_)L 70
finures) S /dl'){), tJl')
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