HomeMy WebLinkAbout0126991-Electric (service repair)
o
OSHKOSH
ON THE WATER
Job Address 2103 MOUNT VERNON ST
CITY OF OSHKOSH
No
126991
ELECTRIC PERMIT - APPLICATiON AND RECORD
Owner
CONNIE M VERBRICK
Create Date 09/28/2007
Category ~~j_:-'3~slden!i~I-Service Change
Plan
Contractor
WITZKE ELECTRIC INC
Service
O-New
o N/A I
Type . Overhead
o Underground
. Change 0 Temp
Volts
Circuits
luminaires
Amps
Switches
Receptacles
Appliances
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Use/Nature of SFR i Service repair-new mast, meter socket, pvc conduit & grounding pe-r code. **DEBIT ACCT**.
Work
Issued By:
$739.00
-~--
Plan Approval ________.$0.00
Permit Fee Paid _____ $46.00.
Fees: Valuation
Date 09/28/2007
D Permit Vo!~
Parcelld # 1516010000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
PO BOX 102
OSHKOSH
WI 54903 - 102
Telephone Number (920) 235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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SEP. 27.2007 h 2: 25PM
'-ILl V4 VSMOS
Ol~'i$jon of IllSpeetioc Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Photl= (920) 236.5050
Fax (920) 236.5084
WITZKE ELECTRIC
NO. 153 P.1/2
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ELECTRICAL PERMIT APPLICATION
All infonnation after bold cate~ories ml.lsr be proyided.
[ncomplete applleations will noe be processed.
· Applioation(s) and fee(s) ca.n be brol.lght [0 City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 'S4903~1128. Commencing work without permit(s) will result in fees being doubled or S100.00 Rlus the
normal perm.it fee, which e"'er is greater,
OR
I \1011 r(! Ira Or tJr 'd_ Ii I ~ i ~ dIe p~ (f
il ~'OU want /h Is Dror::qss~d ;hra:g/r vau accoll I
JOB ADDRESS e:JI 03 Mi- Ytrl1tJn
OWNER () alii 'cl fi1 //It:r
CONTRACTORJ;Ji+ z.ke EIc=.cin'6 Xl1C.
DATE q....~7'YJ7
" \
CHEC1< E2f ALL APPLICABLE
.tr.E CA TEGOR~
~Single Family DDuplex O::Vfulti~Family
SERVICE ONew o Temporary
o Change ONot AppHcable
ORemal
DCommercial
o Indusrrial
TYPE OOverhead
(JUnderground
DNot Applicable
FILL r::"i THE APPROPRlATE BLA...'K \'\.1TH THE ~'il.::vrBER;
Volts
Phase
Amps
/
Recept:l.l:les ~
Circuits #
Switches #
Fi:<tt.lres #-
~H!CK e! ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
o Furnace
DGas Pumps
DGarbllge Dispos.:J I
DAle
DOther
ODryer O\VQter Hea:er
OElectric Sign
:\!ASTER ELECTRlCIA,."i
7.3 'l.O()
/J(P
~y-e.v
t 16 .00
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