HomeMy WebLinkAbout0153110-Electricn CITY OF OSHKOSH No 153110
OSHKOSH
ON THE WATER
Job Address 828 BOWEN ST
Contractor WITZKE ELECTRIC INC
Inspector Adam Krause
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ANDREW J FISHER/MIYOKO P GRINE
Category 612 - Residential - Single Family Addition /R
Create Date 08/10/2012
Plan
Service
New O Change O Temp 0 N/A
Type Overhead
Underground
Volts
Circuits
3
Luminaires
8
Amps
Switches
7
Receptacles
10
Appliances
Use /Nature of
Work
Fees: Val
Issued By:
, Garbage Disposal, Hood
/ KITCHEN REMODEL
Plan Approval $0.00 Permit Fee Paid $111.00
❑ Permit Voided
Date 10/22/2012
Parcel Id # 1106530000
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.
I
OCT.22.2012 8 :31AN
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phoae(920)236 -5050
Fax (920) 236.5084
WITZKE ELECTRIC
ELECTRICAL. PERMIT APPLICATION
All information after gold categories must be provided.
Incomplete applications will not be processed
NO. 364 P.1
N THE WATER
• 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 permits) will result in fees being doubled or S 100.00 plus the
normal permit fee, which ever is greater.
OR
LLyou want this Rfpcessed through koter account
DATE
JOB ADDRESS
O
CONTRACTO W iI i Ti
CHECK 0 ALL APPLICABLE
,,qE CATEGORY
Ingle Family ❑Duplex MMulti- Family
SERVICE ❑New OTempormy
❑Change ❑Not Applicable
Menial C]Commercial ❑Industrial
TYPE ❑Overhead ❑Not Applicable
OUndcrground
FILL IN THE APPROPRIATE BLANK WITH THE N[1MBER
Volts / Receptacles # ��
Pha$e
Amps Switches
CHECK 0 ALL APPLICABLE
❑R=gd Dishwasher
❑Fan OR Blower ❑FurnaCc
❑Motors Mas Pumps
Circuits # 3
Fixtures # 19
Garbage Disposal ❑Dryer ❑Water Heater
MAX ❑Electric Sign
Other
DESCRIPTION OF ALL WORK BEING DONE(
VALUE (Including labor and all materials including light fixtures) S 35,90, 00
MASTER ELECTRICLAN
Received Time Oct• 22.* 2012 8:24AM No. 1324 / / /,GAO
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