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0131874-Electric (1st floor bath)
CITY OF OSHKOSH No 131874 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD i ON THE WATER Job Address 1552 ALGOMA BLVD Owner STEPHEN/JENNIFR SZYDLIK Create Date 07/28/2008 Contractor WITZKE ELECTRIC INC Category 612 -Residential-Single Family Addition/R Plan Service New ~ Change ~ Temp ~ N/A I~ Type ~ Overhead _ _ __ Underground _ ___', Volts Circuits 2 Luminaires 1 Amps Switches 1 Receptacles 2 Appliances Use/Nature c Work Fees: Valua Issued By: 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. JUL. 28.2008 10~52AM t;s~r a; vanicosh DiYfsion o~daapectioa Sesvicea P.O, Bax 1130 Oshkosh, oVi 54903.1130 Phonc (92Q) 336,5050 Fax (9Z0) 236-5084 ~:.q.~ WITZKE ELECTRIC ELECTRICAL RERMIT APPLICATION ' All iaforrcadon after bold categories must b~ provided, . Incomplete applications will not be processed, a Applitadon(s) and foe(s) can be brou~t to Ciry Hall, Raorn 205 or mailed to Inspection Services, PO $ox ! 1ZS, Oshkosh WI'i4903-11ZS. Commenciz; work withoue pe'rnit(s) will result in fees bcin~ doubled or S100.00 plus the normal permit fee, which ever is greater. Yvou area ontO~crer aeri~..t.,..,o....: .~- ~-I'.-- ff LOS! w ! !' ~f - •' ~~ mr th v ur c ~ JOB ADDRESS ~ 1 0 ~ ~ ~ . ~o~rTR.ac'ro,~W~ ~ z.ke ~,le ri c, ,2nG_ ._ CHEC~s: ~ .ALL ~,PPLICABLE Ie'SF~AI'EGORY 5 Ingle Family ^Duplex ^Multi-Fatnily SERVxCE G;Vaw _pTc ary, ^Char.=e mot ~palicsb!e ^Rental {?d N0.825 ~ dP. ii1' a DATE • ~ ~' ^Cotnmercial ^Industrial ?YPE ^Overhead ~~oplicablc QLincerato~ad FILL I:i TAE ~PPROPR~zE BLA_\K «'ITH THE :\ 'bIBE volts _ ~ Receptacles I~= e phase Circuits ~inps S~yEcches R it Fi.~tures ~__ ~ •- CHECK q AI.L APPLICABLE i ^Rar~ge ^Dishwasher ^Fan OlZ Blower ~G~rSaae Dispo$al pDry.er ^Furnace Q,~.G ` ~~l;otors ^Gas Pum s L~Elcctric Sign i' ^Other OESCRIP~'Y01 OF ,~S.L titi'O~BEIti'C DO`S ~'~'~~-I•'~ (InCludPne labor and all - ~ tiI~STER ELEC'rRICI.~~i - lE l ~ ilYt4reS) ~ .-r .. ©~~'ater Hca:e; r 3a r 3~a: