HomeMy WebLinkAbout0146634-Electric (service change) 0 CITY OF OSHKOSH No 146634
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1322 BROAD ST Owner LAWRENCE D SEYBOLD Create Date 07/01/2011
Contractor WITZKE ELECTRIC INC Category 634 - Residential - Service Change Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground
Volts 120 / 240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances Dryer
Use /Nature of SFR / ELECTRICAL SERVICE UPGRADE, ADD DRYER RECEPTACLE AND GFCI IN GARAGE *"debit acct
Work
Fees: Valuation $1,600.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: ( 7 1 Date 07/01/2011
l CC �� ❑ Permit Voided Parcel Id # 1507940000
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.
JUN. 30.2011 2 51PM WITZKE ELECTRIC NO. � e p. i./z,.. as ..,
City of Oshkosh :4/m5 ``
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
. , ®
Phone (920) 236 -5050
Fax (920) 236-5084
• o TH 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
u ''e c a ctor nartteiating in the p rrnft F ee Ac ,o utr t
v ` n hi o sed through yoyr account — � an have adeattaza funds check hem
DATE 4 " 0345 ^ 1 t
JOB ADDRESS_ _1 a oZ A l _ 9 q o 4it
OWNER ' O Bp � l .
CONTRACTOR��V i -i ,, El e
Js ,
CaECK Fe ALL APPLICABLE
US CATEGORY
I ngle Family DDuplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial
SERVICE C]New /TOcrnporary TYPE eKverhead C1Not Applicable
Age of Applicable °Underground
•
FILL IN TEE APPROPRIATE BLANK WITH THE Nr.rmBFE '
•
Volts )P o ay D Receptacles #
Phase Circuits #
Amps CV Switches # .
— Fixtures # _
CHECK 0 ALL APPLICABLE
°Range ❑Dishwasher ❑garbage Disposal ►.�
❑Fan OR Blower °Furnace E VC t9 r C]Water Heater
°Motors p� Pumps 0 Sign
P s ❑Other
DESCRIPTION • F ALL WORK IELNG DONE p ► 1 `
J
1
VALUE (Including labor and all materials including light fixtures) £
MASTER ELECTRICIAN r---i ____.1:,teN.s.,2i.,...._---....___ .,i, pal.p.„
•
Received Time Jun.30. 2011 2:48PM No. 6210
' 3102