HomeMy WebLinkAbout0146633-Electric (service change) CITY OF OSHKOSH No 146633
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 108 E GRUENWALD AVE Owner LORNA M DAVIS LIFE ESTATE Create Date 07/01/2011
Contractor WITZKE ELECTRIC INC Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service p New • Change O Temp O N/A Type • Overhead O Underground
Volts 120 / 240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR / ELECTRICAL SERVICE UPGRADE * *debit acct
Work
Fees: Valuation $1,375.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: ('jYY\a-) Date 07/01/2011
❑ Permit Voided Parcel Id # 1515370100
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.
iii JUN.30.2011 2:37PM WITZKE ELECTRIC 10. 162 aP.1 /1� r
City of Oshkosh '
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone(920)236 -5050
Fax (920) 236.5084
O
N *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 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 S100.00 plus the
normal permit fee, which ever is greater.
OR
v. a a •i:•ct• ,,ti',•in- ', ePer ' _e4__ nt _v_ _ a, t ,• - ad_..,te , che.._ he
ou want this processed thrgFh your acco RI
`` DATE 4.3 O •/ l
JOB ADDRESS (,.), �1v N@,
O ^ c e. 4 15&%5 ia •
coNTRACTO
•
CHICK H ALL APPLICABLE
CATEGORY
Single Family DDuplex DMulti- Family DRental ❑Commercial ❑Industrial
SERVICE ❑New OTemporary TYPE AQverhead CINot Applicable
Rehange ONot Applicable ❑Underground pP
FILL IN TEE APPROPRIATE BLANK WITS TEE NUMBER ' .
Volts iy S Receptacles #
Phase _ 1 Circuits #
Amps Switches #
Fixtures #__
CHECK H ALL APPLICABLE
❑Range ClDishwasher CIGarbage Disposal ❑ r
❑Fan OR Blower ❑Fuace DA�C I�Water Heater
rn
0Blectric Sign
C1Motors Gas Pumps DOther
DESCRIPTION 9F ALL ORK BEING DONE al G� i c e �•� i c -.
U
VALUE (Including labor and all materials including light fixtures) $ 3 7 r
MASTER ELECTRICIAN ______!..itc.....1)....ca,_________....._ . r^; FP‘
Received Time Jun, 30, 2011 2:34PM No. 6208 PP r
2/02