HomeMy WebLinkAbout0152454 - electric (svc change) (1) CITY OF OSHKOSH No 152454
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1703 NORTHPOINT ST Owner SECRETARY OF HOUSING&URBAN DEV Create Date 09/18/2012
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
N/A Type O Overhead • Underground l
Service � New • Change 0 Temp 0 � — —
Volts
120/240 Circuits Luminaires __
Amps
200 Switches Receptacles
Appliances
I
Use/Nature of SFR/SERVICE CHANGE **debit acct
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
aril Date 09/18/2012
Issued By:
0 Permit Voided I Parcel Id# 1514570000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Date
Signature
Agent/Owner
Address
155 E PACKER AVE OSHKOSH WI 54901 - 1659 Telephone Number (920)235-6572
_ –- — –
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit your Name andyphof
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
SEP.18.2012 11:03AM WITZKE ELECTRIC NO.197-} -P.1/1--7 .
City of Oshkosh f!.�L8
Division of Inspection Services I
Alr
P.O.Box 1130
Oshkosh,WI 54903.1130
0
Phone(920)236-5050
Fax (920)236-5084 I\
QN TIE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI'54903-1128. Commencing work without permit(s)will result in fees being doubled or$I00.00 plus the
normal permit fee,which ever is greater.
OR
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DATE ?-/$_:_19'
JOB ADDRESS__ 1 o 3 i0 o r, ' 41.
OWNER_ g
CONTRACTOR Tom+ , _ •
CHECK G3 ALL APPLICABLE
' USE CATEGORY
Single Family 1:2 Duplex ❑Multi-Family ❑Rental . ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overiead ONot Applicable
"irChange ONot Applicable Tnderground
FILL IN TEE APPROPRIATE BLANK WITH THE USER '
Volts /110 / AM+D Receptacles# Circuits#
Phase i
Amps.-12_C2:0_,— Switches# Fixtures#
CHECK Er ALL APPLICABLE
❑Range ODishwashcr ❑Garbage Disposal ❑Dryer OWater Heater
Fan OR Blower OFurnace ❑A/C DElectrio Sign
Motors ❑Gas Pumps Other
DESCRIPTION OF ALL WORK BEING DONE _ - ∎ 0
VALUE (Including labor and all materials including light fixtures)$ /o_GOD t
MASTER ELECTRICIAN_ _ r•. 7. r i,'.I-. •e
Received Time Sep, 18. 2012 10: 55AM No, 0883 ��