HomeMy WebLinkAbout0151395 - Electric (flag pole lighting0 CITY OF OSHKOSH No 151395
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 512 520 ALGOMA BLVD Owner BLANKSTEIN ENTERPRISES INC Create Date 07/27/2012
Contractor WITZKE ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New 0 Change O Temp • N/A Type O Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Flag pole lighting
Use/Nature of COMM/flag pole lighting
Work 1
Fees: Valuation $500.00 Plan Approval _ $0.00 Permit Fee Paid $25.00
Issued By: Date 07/27/2012
❑ Permit Voided Parcel Id# 0701670000
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 155 E PACKER AVE OSHKOSH WI 54901 - 1659 _ 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.27.2012 7:36AM WITZKE ELECTRIC P.1i1
•
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0:11 City of Oshkosh ?'
■ti 'Division of Inspection Services
II P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
ON THE 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
I o r2 contrgctor? ipattn_Q [„rk permi ee ,gccou t System and have adequate funds, chec here
t u wan his r ce t u.eh your account El
DATE t7a — Ia
JOB ADDRESS
OWNER_____ 1�`�' ja 4J
CONTRACTO ( I -r G .Tr'1 C
CHECK PI ALL APPLICABLE
USE CATEGORY •
❑Single Family DDuplex ❑Multi-Family ❑Rental XCommercial ❑Industri al
SERVICE ONew DTemporary TYPE ❑Overhead jot Applicable
Change (ot Applicable • • ,❑Underground
FILL IN TEE APPROPRIATE BLANK WITH THE NUMBER
Volts / , Receptacles# Circuits#
Phase
Amps Switches# Fixtures # d
CHECK 6d ALL APPLICABLE
•
DRange ❑Dishwasher ❑Garbage Disposal Dryer Water Heater
Fan OR Blower ❑Fumace ❑A/C °Electric Sign
❑Motors C1Gas Pumps ClOther
DESCRIPTION OF ALL WORK BEING DONEJJ ; r ` _ r c,,
VALUE (Including labor and all materials including light fixtures) $
MASTER ELE CTRICIA.N �, �
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Received Time Jul. 27. 2012 7: 29AM No. 0226 as
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