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CITY OF OSHKOSH
No 131936
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 150 W 22ND AVE Owner JAMES M/SUZAN E MEYER Create Date 06/05/2008
Contractor WITZKE ELECTRIC INC Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change (~ Temp ~ N/A Type ~ Overhead ~ Underground
Volts Circuits luminaires 3
Amps Switches 3 Receptacles 1
Appliances
__
se/Nature of FR/ Gut and remodel upper bathroom, move non-bearing partition wall. No Structural Work
Work
i
Fees: Valuation $950.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: ~~l) Date 07/30/2008
^ Permit Voided ~ Parcel Id # 1402250000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such. activity.
Signature ' Date
Address PO BOX 102
Agent/Owner
OSHKOSH WI 54903 - 102
Telephone Number (920) 235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
I
JUL. 30,2008.oa~9~ 15AM WITZKE ELECTRIC
Di~~sion of Inspect;on Services.
P.O, Box 1130
Oshkosh tiYI 54903.I 130
Phoae (920) 2365050 ',
,, Fax (920)236-5084 ~'
ELECTRICAL pFRM1T APP~ICATIQN
All iaiormation a$er bold categories must be provided,
Incotnplets applications will ao- be processed,
N0.841 P.1
• Application(s) and fee(s) can be brow ht ro Cin~ Hall Roon
$ox 1123,
Oshkosh WI '54903-11x8. Commencing work withour perm (s) will result i7 fees beinn doubled PO
norms] permit fee, which ever is greater. ~ or S l 00.00 plus the
OR
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E CaTEGORY II
Sia~Ie Faznily QDuplex p~tulti-Farr1ily
_.) SER`7CE QNaw ^Terr:poraty _
DChan=e Not applicable '~,
C1Rental dComnercial ^Industrial
TYPE ^pverhead ~'ot Applicoblc
^linder~ound
FILL I~ THE :~PPROPRZ?,TE BLA:`K ~ti'ITH TIC \ tiIB R
Volts ~
phase Receptacles r l __ Circuits
Amps ~a
Switches t Fi.~tures =^~~
CHECK E7,a,I,L,~pPLZC,~pLE
Gunge GDishwasnar
~an OR Blower ^Gerbage Di~pos~l ^Dn•er GE~'ater Heaver
~`'Iotors ^Furnace ^~'C
Gas Pumps OOther QElecGic Sign
D~SCRIPTIOiti Olr :~.[.L 1"~'pR~BEI\G DO~~
~.'~'L~ (Ineludiag labor and art
~ ~;~'S1"EREt.EC7RICI.-~~i
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~~ fixtures) 7''~0 •D(~
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