HomeMy WebLinkAbout0147133-Electric (garage) CITY OF OSHKOSH No 147133
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 559 HAZEL ST Owner THOMAS G ALLEN Create Date 08/08/2011
Contractor WITZKE ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 1 Luminaires 2
Amps Switches 1 Receptacles 3
Appliances
Use /Nature of SFR / Wire garage. * *debit acct
Work
Fees: Valuation $975.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: 1 ;'-; . Q/ Date 08/08/2011
❑ Permit Voided Parcel Id # 1103500000
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.
AUG. 8.2011 8 :36AM WITZKE ELECTRIC 10.326 �.1i1`l
City of Oshkosh
Division of Inspection Services
P.O, Box 1130 •
Oshkosh, WI $ 4903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084
TNP WATRR
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
f you are a contractor participatfzt,2 in t Porn t Fee Accowzautsin and h va c a gzthte fun s. check hsra
if you imps this processed through your gccount ❑
DATE g ~ V r '
JOB AADRESS ' 6 l . 4 ZJ
OWNER Ti tet - 4?-''\
CONTRACTO , t 4-
CHECK 10 ALL APPLICABLE ,
USE TEGORY
Mingle Fam °Duplex ❑Multi- Family °Rental . ❑Commercial, ❑ Industrial
SERVICE °New °Tem TYPE °Overhead l iNtlr ° � plicable
°Changeable ❑Underground
FILL IN TFIE APPROPRIATE BLANK WITH THE NUMBER
•
Volts / Receptacles # 0 Circuits # (
Phase � • ,
Amps Switches # • 1 Fixtures # O�
CHECK el ALL APPLICABLE
DRange DDishwasher ❑Garbage Disposal . DDryer ❑Water Heater
DFan OR Blower ❑Furnace CIA/C °Electric Siga
CDMotors ❑Gas Pumps ROther _ _
' DESCRIPTION OF ALL WORK BEING DONE l.i t t' t m-- qiert
VALUE (Including labor and all materials Including light fixtures) $ / 6
MASTER ELECTRICIAN ,._ __ " R' 0 -4 l'••■"V F4.9...
Received Time Aug. 8. 2011 8:32AM No. 6599 3/02