HomeMy WebLinkAbout0126409-Electric (receptacles)
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OSHKOSH
ON THE WATER
Job Address 12061226 ONTARIO ST
CITY OF OSHKOSH
No
126409
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BETHLEHEM LUTH CHURCH
Create Date 08/22/2007
Contractor WITZKE ELECTRIC INC
Category 643 - Commercial-Addition/Remodels
Service
p New
o Change 0 Temp
. N/A
Type 0 Overhead
Plan
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of COMM / Provide and install (2) 110-volt receptacles for the sound system in Fellowship Hall. "DEBIT ACCT".
Work
Fees: Valuation
$400.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 08/22/2007
D Permit Voided I
Parcelld # 1208170000
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 - 1 02
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.
I
AUG.22.2007 11:35AM WITZKE ELECTRIC.
Ciry of 05hkosh
Dil/islon of Il'lSpe:rioQ Services
P,O.Box 1130
. Oshkosh, WI $4903.1130
. PhoIl!: (920) 236-5050
Fax (920) 236.5084
.-
ELECTRICAL PERMIT APPLIC.ATION
All information after bold categoriesr.nust ba provided.
bccmplere applications will notbe processed.
NO. 800(JUlftiM~
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b{:ti~Qfr-]
· Application(s) and fee(s) c"" be brough, to City Hall, Room 205 or mailed '0 Inspection Services, PO Box 112$,
Oshkosh WI 54903-1128. COmmcncing work without permit(s) will result in fees being doubled or 5100.00 plus the
nonnaJ permit fee, which ever isgrealer.
OR
JOB ADDRESS / a-o [; () n-r-ar/l)
O\V!,ER 8.fjh If /11 J'Y\ 4tflv;f1)..n [!Au~
CONTRACTOR Wit'Z-KeEled-n'G Inc.
DATE
f-~;;-o7
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CHECK ~ ALL APPLICABLE
t"SE CATEGORY
OSingle Family
SERY1CE ONew .
o Change
TI'PE
DDuplex
O.'vIulti.Farnily
OTemporaI}'
. ~~t .'\pplicable
~ommercial Otndustrial
CJO\"erhead ~~ot Applicable
OUndergrollnd .
ORenta]
FILL I:"l THE APPROPRlAT.E BL.-L'iI...: \\lTH THE :"t'l;:\-rBE~
. .
Volts ~
Phase
AblPs
/
Recept.acles ::::
CIrcuit.s # ~
SWitches #-
Fi:'Ct'Q res #-
CIiECK ~ ALL APPLICABLE
[JRan2e DDishwasner OG:lrbllge Dispo,$:ll
OFan DR Blower o Furnl:lce DA':C
OMOlors DGas Pumps DOther
)). asqup.TIONOF ALL "'VORk'BEl~Gn.O~L I'~VICl~::,d ~+:;:, ~O
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ODr)'er
OElectric: Sign
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