HomeMy WebLinkAbout0146831-Electric (service change) CITY OF OSHKOSH No 146831
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 705 DAKOTA ST Owner MINA BROWN Create Date 07/14/2011
Contractor WITZKE ELECTRIC INC Category 634 - Residential -Service Change Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type • Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of SFR / Replace defective main breaker and bring grounding up to code. * *debit acct
Work
Fees: Valuation $375.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 07/14/2011
❑ Permit Voided I Parcel Id # 0602070000
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.
JUL.14.2011 12 :55PM WITZKE ELECTRIC N0.217 P.1
City of Oshkosh
Division of Inspection Services
Box 1130
CAII)
Oshkosh, kosh, WI 54903 -1130
Phone (920)236 -5050
Fax (920) 236 -5084 K O l
N HE 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 permits) will result in fees being doubled or $100,00 plus the
normal permit fee, which ever is greater.
OR
ULou pre a contractor rarticipatin2+ in the Permit Fee Account System and have adequate funds. check here
if v u want this processed through your account. ❑ ,+� tJ
DATE / "I7
JOB ADDRESS b 5 4 1/4 '[ ‘
OWNER _ . ktef\ ( %..N k .
CONTRACTOR f t,) lecinc. l C
CHECK Efi ALL APPLICABLE
USE_,PATEGORY
[ ingie Family DDuplex l MuI - Family DRental ❑Commercial Dlndustrlal
SERVICE DNew ❑Temporary . ' TYPE ®Overhead fallot Applicable
DChange DNot Applicable ClUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NCMBFa
Volts f ap / a q ® Receptacles Circuits #
Phase '
Amps ,' CO A Switches # Fixtures #
CHECK Fil ALL APPLICABLE
CORange DDishwasher []Garbage Disposal . DDryer DWater Heater
CIF= OR Blower DFurnaee DA/C OElectric Sign
C IMotors DOas Pumps D,Other
'DESCRIPTION OF ALL WORK BEING DONE . Q C.. - - ' 7 if J iik.
A 6,4. c...1C .cf .- t eS,I "∎ aw41 tAr To i
VALUE (Including labor and all materials including light fixtures) $ . S
M
?Rd Mt 7- F''''
ASTER ELECTRICIAN :zzct 5
Received Time Jul. 14. 2011 12:51PM No.6347 3/02