HomeMy WebLinkAbout0152550 - Electric (relocate wiring) CITY OF OSHKOSH No 152550
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1100E MURDOCKAVE Owner STANDREW EVAN LUTH CHURCH Date 09/25/2012
Contractor WITZKE ELECTRIC INC — Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause _
Service New ice -- — —
Volts
0 Change O Temp • N/A Type 0 Overhead — — O Underground Circuits
— Luminaires
Amps Switches
Receptacles
Appliances -- — —- —
Use/Nature of COMM/RELOCATE WIRING FOR THE ORGAN **debit acct -
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid
� ) $60.00
6
Issued By:
Date 09/25/2012
❑ Permit Voided Parcel Id# 1514817400
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.
SEP.24.2012 3:02PM WITZKE ELECTRIC N0.216;� P.1i1GC 7 'F •</City of Oshkosh
• Division of Inspection Services
P.O.Box 15
Oshkosh,WI 54903-1130
Cli-.)
Phone(920)236-5050
Fax (920)236-5084 ( —KCY-I
. H E.
Of swAtF
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 '54903-1 128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If r_e& oturattot' Participating to the Permit Fee 4count System and have adtquaafutttit. cock here
if you want this proceQCed through your account ® q
DATE ( °'?
JOB ADDRESS )/d) L PKt rt.
OWNER_ bk- A�A 1 �%..a g tlg2%�.\i cam\ ' 1..,„ 4 o%1 L\•-s-a
CONTRACTOR VV l I
CHECK H ALL APPLICABLE
USE CATEGORY
CiSingle Family Duplex ❑Multi-Family ❑Rental ›ommercial ❑Industrial
SERVICE DNew ❑ emporary TYPE ❑Overhead lot Applicable
❑Change Tot Applicable ❑Underground
FELL IN THE APPROPRIATE BLANK WITH THE NUMBER '
Volts / Receptacles F v' Circuits# L.--------
Phase
Amps Switches# Fixtures#
CHECK S5 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑AIC :EIectric Sign
ClMotors El Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 90s-\,®t_A & t r ;- C 4 f
.
VALUE (Including labor and all materials including light fixtures) $ it C Z ' —
MASTER ELECTRICIAN r..Q c rt\-1:+ ICjeK„
Received Time Sep. 24. 2012 2: 54PM No. 0946
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