HomeMy WebLinkAbout0143419-Electric (furnace & a/c) l CITY OF OSHKOSH No 143419
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 175 W FERNAU AVE Owner B & P ORDER OF ELKS INC Create Date 10/04/2010
Contractor WITZKE ELECTRIC INC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances FURNACE AND A/C
Use /Nature of Elks Club / Reconnect wiring for replacement furnaces and a /c's installed by Gartman Mechanical. **debit acct
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: 0/pfd Date 10/04/2010
Permit Voided Parcel Id # 1519602400
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.
OCT. 4.2010 11 :24AM WITZKE ELECTRIC N0.616 P.1 /1
City of Oshkosh / / ; /5
Division of Itupection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone (920) 236,5050
Pax (920) 236 -5084 .
ELECTRICAL PERMIT APPLICATION °" M EW ER
• •
All information after bold categories must be provided.
Incomplete applications will not be processed
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit foe, which ever is greater.
OR
c a f ar' f e f e c v m
u h o sed t hrourh your gccount g h v a atQ fr�nc�s. check h_e
JOB ADDRESS 1 5 I,.S � S� DATE /('a a': Y � /O
f a./ i v.t.. 0 0 k.
OWNS j
CONTRALTO
CHECK 12i ALL APPLICABLE
•
USE CATEGORY
❑Single Family DDuplex CIMulti Family C7Rental !!Commercial' 3.4idustri al
SERVICE ❑New pT
doge e t Applicable TYPE 0 er round of Applicable
FILL IN THE APPROPRIATE BLANK WITH THE =um
Volts Receptacles #
Phase Circuits
Amps Switches # Fixtures #
CEECK of ALL APPLICABLE
DRange DDigwasher �❑G�ar age Disposal Q e! .
Man OR Blower ace C�?QC �Y ❑Water Heater
ElMotors p Plumps Sign
P s ]Other
DESCRIPTION OF ALL WORK BEING DONE -
0..... - �
VALUE (Including labor and all materials including light fixtures) $ ,.. CP
MASTER ELECTRICIAN �►'� ' � r _ibit':QDe.„.._._._.__L__ r. ' a 5 r
Received Time Oct. 4. 2010 11:24AM No.3085 .
3!03