HomeMy WebLinkAbout0096538-Electric (service change) CITY OF OSHKOSH No96538
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1008 MORELAND ST Owner KEVIN 0/TRACY L TEMME Create Date 08/12/2002
Contractor WITZKE ELECTRIC Category 634 - Residential- Service Change Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 120/240 1 Circuits 1 Fixtures 0
Amps 200 Switches 0 Receptacles 1
Appliances
Use /Nature of SFR/ Install new 200amp UG service & install GFR below panel.
Work
Fees: Valuation $1,240.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: Date 08/12/2002
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920 - 235 -6572
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 /
Fax (920) 236 -5084 OJH<OJ --
ON TNF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be broug 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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account 0
I DATE Sr-,—(:)
JOB ADDRESS / CM $ I'l.et.e y. S-
OWNER ‘JZ_J i 1 \ T2 :e. ?;2_
CONTRACTOR W i- z ke E Iec - -Y1 G.
CHECK H ALL APPLICABLE I
USE CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ECommercial Olndustrial
SERVICE 1�New ❑Tem ora
p ry i TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable; AIJnderground
•
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / O / a L(O Receptacles # 1
Phase / Circuits #
Amps a d'O Switches # Fixtures #
CHECK H ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal
❑Fan OR Blower OFurnace p ODryer OWater Heater
O ❑Electric Sign
❑Motors
OGas Pumps OOther
DESCRIPTION OF ALL WORISBEING DONE _AL
- Jc - ..: p (.- e,. -
LI V ALUE (Including labor and all m : fixtures) $ ) ( 0
'J
411
..........
MASTER ELECTRICIAN i ��� 11��, . ,,, (\I .e..
i 111 4 bo
3/02
Electric Permit Work Card
Job Address 1008 MORELAND ST Permit Number 96538 Create Date 08/12/2002
Owner KEVIN 0/TRACY L TEMME Contractor WITZKE ELECTRIC
Category 634 - Residential - Service Change
Service p New O Change Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 120/240 Circuits 1 Fixtures 0
Amps 200 Switches 0 Receptacles 1
Fee $60.00 ❑ Value $1,240.00
Appliances
Use /Nature SFR/ Install new 200amp UG service & install GFR below panel.
of Work
Inspections:
Date Type Service Inspector Jon Fischer
•
REQUEST LINE. Ready late morning or early afternoon on 10/7/02.
10/7/02 approved
10/07/02 called in
10/7/02 mailed in
Date/lime requested: 09/27/2002 03:11 PM Notice Type: Phone Number: 235 -6572
Access:
Electrician on site.
Ready DateTme: 10/07/2002 11:30 AM Requested by: WITZKE ELECTRIC - Tim
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid