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0152864 - Electric (wiring for new garage)
CITY OF OSHKOSH No 152864 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 533 MOUNT VERNON ST Owner MICHAEL J WERTEUPAMELA THORP Create Date 10/10/2012 Contractor WITZKE ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan Inspector Adam Krause Service 0 New O Change 0 Temp f♦ N/A Type 0 Overhead O Underground Volts Circuits Luminaires- Amps _ Switches Receptacles Appliances Use/Nature of SFR/WIRING FOR NEW GARAGE-INCLUDES SUB PANEL **debit acct Work Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00 Issued By: > Date 10/10/2012 ❑ Permit Voided I Parcel Id# 0401310000 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. OCT. 9.2012 3:03PM WITZKE ELECTRIC NO.316' P.11 el il 3 City of Oshkosh Division of Inspection Services P.O,Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 ON THE WAT 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 e a c.,... • 'ar -_" _ in 4_ _--rrni __ .... . 'un - - =L an .41, ad- • c _ nds _,__ : , _r: lfjog want this nroce.ssed through your accounit E DATE /D ^ 9' /e2 JOB ADDRESS 5 3 3 ! Ale. . .)tf•k.,,, OWNER '1 a. Ne t f e, ' CONTRACTOR W i f r lectric, In a- • CHECK 0 ALL APPLICABLE AE, CATEGORY ngle Family DDuplex DMulti;Family ❑Rental DCommercial Dlndustrial SERVICE New 12 emporary TYPE ❑Overhead Tot Applicable Change Tot Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE ),ZE . • Volts / Receptacles#, Circuits# Phase Amps Switches# Factures# ��' CHECK 0 ALL APPLICABLE DRange DDishwasher ©Garbage Disposal DDryer DWater Heater DFan OR Blower ❑Furnace []A/C ❑Electric Sign OMotors ❑Gas Pumps DOther DESCRIPTION OF ALL WORK BEING DO `f % O f - - t- - - _ --. _ W VALUE (Including labor and all materials including light fixtures) $ OZ?) MASTER ELECTRICIAN �. 74,t MZ t /-"�� 7i" 7I Received Time Oct, 9. 2012 2: 56PM No, 1177 3/02