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0151602 - Electric (additon to #151402)
CITY OF OSHKOSH No 151602 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 910 SCHOOL AVE Owner WILLIAM H/JOSEPH/THOMAS PERZENTK/ Create Date 08/09/2012 Contractor WITZKE ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan Inspector Adam Krause Service New 0 Change 0 Temp • N/A Type O Overhead O Underground Volts Circuits _ Luminaires Amps Switches Receptacles Appliances ' Use/Nature of FR/ADDITION TO PERMIT#151402-REPLACE OLD SUB PANEL,CHANGE CONNECTIONS IN PANEL AND BOXES TO CODE Work ND OTHER MISCELLANEOUS PROBLEMS PER ORDERS **debit acct Fees: Valua• n 00.00 Plan Approval $0.00 Permit Fee Paid $17.00 Issued By: Date 08/09/2012 Permit Voided I Parcel Id# 0202850000 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. AUG. 8.2012 8:32AM WITZKE ELECTRIC N0.03 ,�P.lit $ $,- /a !^ g ; 30 4f/\City of Oshkosh 'Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 I I cm TNQ WATER ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Applioation(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 ar_a a conircator Dart J,pating in the_permit Fce 4ount System and have adcguate funds. cheek here if you want this procegsed throu.eh your acco_unt 6 . ( \ . DATE 3 "."1R p JOB ADDRESS / �0 c L t c l j\C■ R OWNER_ k.L.) 1.V, 0,..1 �re r 7,:.e_yvA-k...0. . CONTRACTOR L EI i C. .Try CHECK l�l ALL APPLICABLE S CATEGORY J Ingle Family ❑Duplex ❑Multi-Family C]Rental Commercial Industrial SERVICE New OTemporary TYPE ❑Overheadiot Applicable ❑ChangeVot Applicable ❑Underground FILL IN TEE APPROPRIATE BLANK WITH TI3E NUMBER . Volts / Receptacles# Circuits# Phase Amps Switches# . Fixtures# • CFYECK it ALL APPLICABLE ❑Range CIDishwasiter ©Garbage Disposal ❑Dryer ©Water Heater ClFan OR Blower ❑Furnace ❑A/C DElectric Sign ❑Motors ❑Chas Pumps ❑Other, - \\ _ DESCRIP r ON OF ALL WORK BEING DONEE.T�Vos c:v CA 6_ & _ _. s. . (-__4 tQvk.S tom` e •+ .+ '� _ _) .. - �. - Al 'se Fs 1 r di Q 4 ?.(c)6-4,5,& ac4 rl A- 15 ,L40-)- VALUE (Including labor and all materials including light fixtures) $ 4 aero • MASTER ELECTRICIAN 1 _______ ..„,,,„.._gs .Q.s ...., .3.....J (N-.%'-1-. D Received Time Aug. 8. 2012 8: 25AM No. 0357 3/02