HomeMy WebLinkAbout0153185 - Electric (add receptables) CITY OF OSHKOSH No 153185
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 240 W 9TH AVE Owner PEACE LUTHERAN CHURCH Create Date 10/25/2012
Contractor WITZKE ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service b New 0 Change O Temp • N/A J Type O Overhead O Underground
Volts Circuits 1 Luminaires
Amps Switches Receptacles 9
Appliances
Use/Nature of COMM/ADD RECEPTACLES TO ELIMINATE EXTENSION CORDS "debit acct
Work
Fees: Valuation $1,30 0.00 Plan Approval $0.00 Permit Fee Paid _ $77.00
Issued By: }�t,�.,) Date 10/25/2012
❑ Permit Voided) Parcel Id# 0900470000
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.25.2012 8:20AM WITZKE ELECTRIC NO.3;9 th'•ii1
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236.5050 ��(n r�
Fax (920)236-5084 `WATE
ON THE WATER
•ELECTRICAL PERMIT APPLICATION
AU 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 S 100.00 plus the
normal permit fee,which ever is greater.
OR '
If_vou are a co-.niraezor yarticipagng in she Permit Fee Account Svsssm and_have adeauate f_undL check here
if you want this processgd through your_account E
DATE /o - a s - /a
JOB ADDRESS Q 40 10 e a . K A
OWNE . _ _ • .
coNTRAcroR I 'z. ) 5-1 e.0 ''(C. one.. .
CHECK ei ALL APPLICABLE
' USE CATEGORY
OSingle Family °Duplex DMultirFamily Mental "commercial ❑Industrial
SERVICE ❑New ❑ orary TYPE DOverhead X1ot Applicable
OChange of Applicable °Underground
FILL IN TF!E APPROPRIATE BLANK WITH THE ZOMBIE •
Volts / Receptacles#, ( Circuits# r
Phase Fixtures#
Amps Switches#
CHECK El ALL APPLICABLE '
pgage °Dishwasher Garbage Disposal ❑Dryer • °Water Heater
°Fan OR Blower °Furnace DA/C . DElectric Sign
°Motors Gas Pumps ❑Other
- \\ _
DESCRIPTION OF ALL WOltK BEING DONE �e] ".-Z)�S.
•
VALUE(Including labor and all materials including light fixtures) $ )t 3 yr
MASTER ELECTRICIAN .+.t..F 4 /7 At
Received Time Oct. 25. 2012 8: 12AV1 No. 1397 9/02