HomeMy WebLinkAbout0153285 - Electric (replace defective panel) CITY OF OSHKOSH No 153285
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1647 SPRUCE ST Owner JOHN W/ANN M JOHNSTON STON
- ----- Create Date 10/31/2012
Contractor WITZKE ELECTRIC INC
-------- --
--_ Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service b New • Change 9 ❑ Temp ❑ N/A � Type • Overhead
--- 0
Volts 120/240
Circuits Luminaires
Amps 100 Switches
--- Receptacles
Appliances -- -- — --. — ----
----- --------
Use/Nature of SFR/REPLACE DEFECTIVE PANEL **debit acct
Work
l I
Fees: Valuation $500.00 Plan Approval $0.00
Permit Fee Paid $25.00
Issued By: �❑
Date 10/31/2012
❑ Permit Voided I Parcel Id# 1201890000
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.31.2012 1:57PM WITZKE ELECTRIC
City of Oshkosh NO.395/C'eoP. 1/1' t (S
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
4:43c1fTH
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
IfvoT&are a contractor panic t_�nut , in CEIrmit Fey __ . re', ., ,/ = adc•_•r: ,_c•_ c :ck h. =
if you want_this processed through vow account •
DATE IO "3/ '" /
JOB ADDRESS I/ Y C ‘_k
OWNER o _�-_ . -n
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CONTRACTOR_ t_.� C +n-t.-..
CHECK FZI ALL APPLICABLE
U CATEGORY
Ingle Family ❑Duplex OMulti-Family ❑Rental ClCommercial ❑Industrial
SERVICE CINew DTemporary TYPE verhead C INot Applicable
Xhange l:INot Applicable []Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts )at, / a'{0 Receptacles# Circuits#
Phase _/
Amps 1) Switches# Fixtures#
CHECK 0 ALL APPLICABLE
•
ORange []Dishwasher ClOarbage Disposal , ❑Dryer DWater Heater
❑Fan OR Blower DFurnace DA/C DElectric Sign
❑Motors D O as Pumps ❑Other
DESCRIPTI a OF ALL WORK BEING DONE d S`'� c�) Ap,c,,�,f 3
i
VALUE (Including labor and all materials including light fixtures) $ _
MASTER ELECTRICIAN • � 1 ��
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Received Time Oct, 31. 2012 1 :49PM Vo. 1484 3/02