HomeMy WebLinkAbout0144130-Electric (roof top unit) I CITY OF OSHKOSH No 144130
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 501 E PARKWAY AVE Owner BOYS AND GIRLS CLUB OSHKOSH INC Create Date 11/17/2010
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
Use /Nature of COMM / Disconnect and reconnect new HVAC replacements. * *debit acct
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 11/17/2010
❑ Permit Voided I Parcel Id # 0404900000
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 :11PM WITZKE ELECTRIC P.1
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
4161
Phone (920) 236 -5050
Fax (920) 236 -5084 '
. N THE WAT
ELECTRICAL PERMIT APPLICATION
All information atler 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 5100.00 plus the
normal permit fee, which ever is greater.
OR
If you area contractor Dartfejpating in the P ermit Fee Ace. n _ v _ • , , , • _ • „ ate and _ ._ , 're
Lao want his processed through your account ig
. , DATE /l — _77/6 •
JOB ADDRESS 501 E. ?ark kw
OWNE .
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CONTRACTOR Wl 1
CHECK 0 ALL APPLICABLE
US E CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ClRentaJ %Commnercial °Industrial
SERVICE New °Temporary TYPE ❑Overhead Not Applicable
°Change DNot Applicable °Underground
PILL IN THE APPROPRIATE BLANK WITH TEE =MA '
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CBECK sa ALL APPLICABLE
Mange °Dishwasher Da Disposal °Dryer DWater Heater
❑Fan OR Blower ❑Furnace ❑Electric Sign
Motors <r Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEXNG DONE, di ((iiymerAt 4 r� a ,m a' n k' )
1 .w a /. ..a, ' A a4
VALUE (Including labor and all materials including light fixtures) S 500 4 0 0
'WASTER ELECTRICIAN ______:„ � k L,
Received Time Nov. 17. 2010 2:12PM No. 3781 ° .�0 3/02