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HomeMy WebLinkAbout2012-Electric (wiring for AC) (9 CITY OF OSHKOSH No 152586 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1114 WASHINGTON AVE Owner ROBERTA/HARRIET H BREEST Create Date 09/26/2012 Contractor WITZKE ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan Inspector Adam Krause Service 0 New O Change 0 Temp 0 N/A Type 0 Overhead 0 Underground Volts Circuits Luminaires - Amps Switches Receptacles _ Appliances C Use/Nature of SFR/WIRING FOR A/C REPLACEMENT ""debit acct Work Fees: Valuation $500.00 Plan Approval _ $0.00 Permit Fee Paid $25.00 Issued By: stri7`J Date 09/26/2012 ❑ Permit Voided] Parcel Id# 1100410000 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 155E 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.26.2012 10:59AM WITZKE ELECTRIC N0.224 P.1/i�L 'hoc City of Oshkosh Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-I130 Phone(920)236-5050 Fax (920)236-5084 Of'-- Off- ON tW WATER • ELECTRICAL PERMIT APPLICATION AlI 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'549034128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee, which ever is greater. OR e ._ ± = a e,ntra to the •ertntt Fee if you want this processed thro_ z your account a . DATE 9- 26 /� JOB ADDRESS ) , 1 LI tZekS` 'i N. W \ OWNER, e 6 4 ['F,f' ,.t—k- 4 le p CONTRACTOR W l E1 e (-r!C, Try CHECK ff ALL APPLICABLE CATEGORY Angle Family ODuplex ©Multi-Family ❑Rental 0 Commercial ❑Industrial SERVICE ONew ❑Temporary TYPE DOverhead ot Applicable OChange Tot Applicable ❑Undcrground __ FILL IN TEE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK B(ALL APPLICABLE ' ❑Range ❑Dishwasher ❑e arbage Disposal ❑Dryer is Water Heater DFan OR Blower OFurnace =AA/C D.Electric Sign ElMotors 1210as Pumps • •they DESCRIPTION OF ALL WORK BEING DONE t,a ;i n. r XC, VALUE (Including labor and all materials Including light fixtures) S i. C MASTER ELECTRICIAN______ ..,4ac,%_ 0.. ..Q.C>e,„ P,5 Received Time Sep. 26. 2012 10: 51AM No. 0990 3/o2 . . ...... .... ....