HomeMy WebLinkAbout2011-Electric e l) CITY OF OSHKOSH No 144852
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2275 OMRO RD Owner BETTY J WITTENBERG Create Date 01/26/2011
Contractor HOEHNE ELECTRIC 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/ Interior Modifications *Remove outlet drops from interior walls, add outlets and change lighting layout in 1 room. * *debit acct.
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: (t�./ Date 02/09/2011
❑ Permit Voided I Parcel Id # 1621570000
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 N1798 JUNCTION LN BERLIN WI 54923 - 8923 Telephone Number (920) 361 -7242
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.
b 09 11 08:34a CURTIS HOEHNE 18006037242 p.1
F . / e. . k. - / 7z /I 71 t (eC /"
of Oshkosh /�__
• wision of Inspection Scrvices - ~_ •
P.O. Box h. 1 W 15
Oshkosh. I 54903 -1130 / /
Phone (920) 236 -5050
Fax (920) 236 -5084 U./ 1
n (��� nn r11.1 1Ili 41A7F I'
ELLS. ±� P!C� ,7 717.x" .4.77. 'E.1'iC: ^.,!'.. �1... ..
Al] information after bold categories must be provided.
Incomplete applications will not be rroccssed.
8 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 fee, which ever is greater.
OR
If you are a contractor parliciparin,t in the Permit Fee Account System urid hove adc__iale•Jirrrrls, c'he'ck here
if you want this processed through vour accounr ❑
D 4, T E c:, Jr2,.:,211_____
JOB ADDRESS . 5 ()rn Ro , o
OWNER g c-,. LC) crre n
CONTRACTOR - L - _, - c_ 1 ►� <_ E • k c-L 04 . C--
CHECK 2✓1 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi- Farnily ❑Rental ommercial ❑industrial
SERVICE DNcw ❑Temporary TYPE ❑Overhead ❑Not Applicable
DChange DNot Applicable ❑Undcnzzrounc
FILL IN THE APPROPRIATE BLANK WITB. [ THEE NUMBER
Volts / Receptacles # Circuits ;'t ___
Phase _
Amps Switches # l ft ores f
CHECK El ALL APPLICABLE
DRange DDishwasher ❑Garbage Disposal EIDrvcr ❑Water Ileater
[Dan OR Blower ❑Furnace DAiC ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 0 c•e_ ()cam-+ -k- 0 'p.5 F --- C:i ' 1
"4- 4•- . -4C L.-411 S . ) , 1 c (. cj cl`,a,-,cx . (,�! ` t.,-.I. , , 1 " L: o 4 1 N1
VALE (Inc tudin� Gabor agd'al€ materials ine1u ,light li:�tures� �, 1 (� _
f
` „�lReceived Time ' 9 x ,2011- 8:30A 10, 4627 "t
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