HomeMy WebLinkAbout0128167-Electric
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OSHKOSH
ON THE WATER
Job Address 120 JACKSON ST
CITY OF OSHKOSH
No
128167
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CITY OF OSHKOSH
Create Date 12/14/2007
Category 643 - Commercial-Addition/Remodels
Plan
Contractor
WITZKE ELECTRIC INC
Service
p New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Amps
SwItches
4
Receptacles
8
6
Volts
Circuits
Luminaires
Appliances
Use/Nature of Install partition walls for offices.
Work
Fees: Valuation $2,991.00
Issued By: {} /77( x::J
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 12/14/2007
o Permit Voided I
Parcelld # 0101860000
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.
~
.I
DEC.14.2007sh 8:22AM WITZKE ELECTRIC
Dj~'islon of Inspection Servi;l:s
P.O. Sox 1130
Oshkosh, WI 54903.1130
Phone (920) 236-S0S0
Fax (920) 236-50&4
NO.870 P.l
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications \Y.m nOI be processed.
CIJ
01HKOJtJ
ON il-l: "''''HR
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· Application(s) and fee(s) can be brought to Ciry Hall, Room 205 or mailed to Inspection S.ervice:s, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without pennit(s) will result in fees being doubled or $] 00.00 RIlls the
normal permit fee, which ever is greater.
OR
DATE 1~-1tf.-/)7
JOB ADDRESS I ~O Jad:stm SITeer
O~"'ER O/1(J.(nhLr of fJJh')m"'J'"f.l.~_
CONTR4.CTOR Wit z.ke Elecln'c~ XtlC.
CHECK ~ .UL APPL1CABLE
t:SE CATEGORY
DSingle Family ODuplex CJ\-1ulti-Family
..
i
'--
SERVICE ONew
o Change
OTemporary
~ot AppHcable
ORental ~Cornmercial Omdustrial
TI'PE CJOverhead ~'O~ Applicable
ClUnderground
FILL I:--i' THE APPROPRIATE BL.-\...';}, \'Y1TH THE ~::vr'BER
\folts I
Phase
Amps
Recept:101es ;::: to Circuits '#
Switches #;: i Fb:tures # ~
CHICK ItJ ALL A.PPLICABLE
ClRanae
C'
CJFan OR Blower
O~'Iotors '.','
ODish\V2.sner
OFurnace
OGas Pumps
CJG~rbnge Dispos~1
0..1.: C
o Other
ODryer O\V:lter Heat~~
OElec:mc Sign
L \'VORK,.BEI~G DO~'"E
VALw"E (Including Illbor :!ond 1111 m' r rilll
I
( .rASTER ELECTRICIA.~'
fi;ttures) S cR'99/. 00
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