Loading...
HomeMy WebLinkAbout0144131-Electric (misc.) 0 CITY OF OSHKOSH No 144131 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2163 W 9TH AVE Owner THOMAS 0 HALLQUIST Create Date 11/17/2010 Contractor WITZKE ELECTRIC INC Category 642 - Commercial -New Building Wiring Plan Service p New O Change O Temp • N/A Type 0 Overhead 0 Underground Volts Circuits Luminaires Amps Switches Receptacles Appliances Use /Nature of COMM / Wiring for a stand by generator, install an emergency panel and electrical improvements. * *debit acct Work Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00 Issued By: al-2/./1J Date 11/17/2010 ❑ Permit Voided I Parcel Id # 1311840000 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. NOV.17.2010 2 :12PM WITZKE ELECTRIC N0.869 P.2 -` "— City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903.1130 Phone (920) 236 -5050 Fax (920) 236-5084 I ELECTRICAL PERMIT APPLICATION "r" WATER All information after bold categories must be provided. Incomplete applications will aot be processed. • Application(s) and fee(s) can be brought to City Hall, Room 205 or Oshkosh W1 '54903 -1128. , Commencing work without peermit() wi result sullt iin feess being Services, led or $ 00.00 plu normal permit fee, which ever is greater. plus the OR a - oHtr.ct• 'err i.• t - - - r+u: e@ c� :.. t thi tiro sew t hro a ph t ° tc d < c- _ • a ands, check her F o ur a Eg a�I �p � . JOB ADDRESS W . 4 O'WNER___711trajZjiyi111St CONTRACTOR CHECK 1 ' ALL APPLICABLE USE CATEGORY ©Single Family ❑Duplex OMulti- Family ❑Rental ACoIr]111ercial �7lndustrial SERVICE ❑New OTemporary ❑Change Not Applicable TYPE D lndergro :Not Applicable OUnderground FILL IN TEE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Phase Circuits # Amps Switch # — Fixtures #_ CHECK H ALL APPLICABLE • DRange ODishwasher l70arbage Disposal ❑ er ❑Fan OR Blower DFumace DA/C ' ❑Water Heater Motors OGas Pumps DOther DElectric Sign DESCRIPTION OF ALL WORK BEING DONE _ i 4 .j < i s 4 • AA 1.4e i .i VALUE (including labor and all materials including light fixtures) $ /5°D 6t° IZJ MASTER ELECTRICIAN - -_ 4 r6 tatZ Received Time Nov. 17. 2010 2:12PM No. 3781 670,.0 3/02