HomeMy WebLinkAbout0127737-Electric (subpanel; conduit)
G
OSHKOSH
ON THE WATER
Job Address 2155 HICKORY CT
CITY OF OSHKOSH
No
127737
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JON PITHERESA L GRUENSTERN
Create Date 11/08f2007
-----.---..---,"--'--- --. -
Contractor
WITZKE ELECTRIC INC
Category ~J?_-_I3E?sJ9_Elntial-S.i!lglefan1ily__~dditi(?n/R Plan
Service
DNew---O-Ch-ange-=-O-_Te-mp----J[~j~=~~=]
Type Q Over~ead_______~_QLJf19_E!.~9[().l:l!l~___J
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
l
!
i
I
Appliances
--_.__..._,-..---,_._-_.__...__..,-_.~_.;
Use/Nature of 'SFR / ADD SUB PANEL AND UNDERGROUND CONDUIT SYSTEM-TO THE LAKE "crebt accC-------
I
Work I
!
- -----.--,-----~~.-_. ......--1
I
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Plan Approval
$0.00
Permit Fee Paid
_ _~~~.O_O
Date 11/08/2007
D Permit Voided I
__________ ____ ______m____.J
Parcelld # 1526190000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
PO BOX 102
OSHKOSH
WI 54903 - 102
Telephone Number (920L2~5-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
!
~ov. 8,2007 2:01PM
~i..1 w.. '-';a..~v:.JJ.
Dj'..ision of Ill$?~;tion S~\"'Vi;r:li
1',0, Box 1130
Oshkosh, WI S4903* 1130
Phone (920) 236-5050
Fa:'t (920) 236-5084
WITZKE ELECTRIC
NO. 587 P.l
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~
Q(ti~QtH
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ELECTRICAL PERMIT APPLICATION
All information after bold c:ategories must bl: providl:d.
lncompll:te applications will bOt be processed.
· Applica.tion(s) and fee(s) can be brought to City Hall, Room 20S or mailed to Inspection Services, PO Box 1128: .
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees being doubled or S 1 00.00 ~lus the
normal permit fee, which eyer is greater,
OR
JOB ADDRESS J/55' I.fr~ ~
O~"ER _M GrUen
CONTRACTOR 'Wrt2.ke Erecln'G XY1C.
DATE
/ I-~"() 7
CE:ECK ft! ALL A.PPLI CABLE
::iE CATEGORY
,\Single Family ODuplex O~fulti-Family
-
t SER\1CE ONew o Ternporary
_I OChange QNot App1ica.ble
o Renu,l
o Commercial
o Indusrrial
TYPE OO..-erhead
DUnderground
DNoe A?plicoble
FILL I~ THE APPROPRIATE BLA.'-;K "'''lTHTHE ~1.;,.rBE~
Volts
Phase
Amps
I
Recept:lc1es ;::i
Circuits '#
Switches '#
Fixtures #
CHECK E21 ALL APPLICABt!
ORanoe
c
tlFan OR Blower
C]Motors
ODishwasher
DFum3.ce
DGas Pumps
OG:lrbi:l.~e Dis'Dosal
DA:C ~ ,
o Other
o Dr:'er O\Vilter.H'ea:er
DElecmc Sign
DESClUmON OF ALL WORK.B];:I:-;~ ~~:'"E ~ ~ptUlPl ~ .~
(!fwI11d- SIf~km #) L/Ae 14!:tt.. _ _ _ ~
VAll"E (Including Illbor :1nd :111 m il~l
I
fixtures) S
4'O() 100
(" MASTE~ EL!CTRICL-\..'-l"
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