HomeMy WebLinkAbout0144968-Electric (temporary service) i CITY OF OSHKOSH No 144968
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 530 PRATT TRL Owner CITY OF OSHKOSH (PARKS) Create Date 02/23/2011
Contractor WITZKE ELECTRIC INC Category 640 - Commercial- Temporary Service 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 Menominee Park Battle on Bago (parking lot) / Install generator and temporary wiring.
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: Date 02/23/2011
Permit Voided Parcel Id #
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.
FEB.22.2011 2 :37PM WITZKE ELECTRIC N0.443 P.lil
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
0
Phone (920) 236 -5050
Fax (920) 235-5084 •
K H
ELECTRICAL PERMIT APPLICATION "TW WATER
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 fee, which ever is greater.
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CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex IIMu1ti- Family 4Rental °Commercial °Industrial
SERVICE L7New ❑Temporary
❑Change DNot Applicable TYPE DOverhead Elliot Applicable
Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase _�_ C9rcnits #
Amps Switches #
Fixtures # .
CHECK ET ALL APPLICABLE
Mange DDishwasher ❑Garbage Disposal 17
DFan OR BIower ❑Furnace ❑A/C Dryer DWater Heater
❑Motors EJGas Pumps °Other QElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ill / / /, : 6 /_I # 41
C
VALUE (including labor and all materials including light fixtures) S n 5
MASTER ELECTRICIAN _______.s21.___acD-e,___ peemi6 4,,
Received Time Feb, 22. 2011 2:37PM No, 4745 '
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