HomeMy WebLinkAbout2012-Electric (replace service) CDI CITY OF OSHKOSH No 154038
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 712 W 4TH AVE Owner NLM PROPERTIES LLC Create Date 12/28/2012
Contractor WITZKE ELECTRIC INC Category 610-Residential-New Single Family Servi Plan
Inspector Adam Krause
Service O New 0 Change 0 Temp • N/A Type 0 Overhead O Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of RES/Replace service. Add receptacles in the kitchen. Replace rec.with GFR.
Work
Fees: Valuation $2,000 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 12/28/2012
Permit Voided Parcel Id# 0603470000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 155 E PACKER AVE OSHKOSH WI 54901 - 1659 Telephone Number (920)235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
DEC.28.2012 10:MAN WITZKE ELECTRIC NO.�86��P 1i1� .a$ ,�a
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 lam/r
HKOJH
DN THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories most 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
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If you want this processed throe amour accord 0
DATE 1R -4 $ - /d
JOB ADDRESS I a `t'E- J
OWNER 0- 74o- 8bos
CONTRACTOR 0' - 't . Ai.e C..1.t i C _
CHECK El ALL APPLICABLE
USE CATEGORY •
❑Single-Family ❑Duplex C1Multi-Family (ental []Commercial Oindustrial
SERVICE ❑Ncw Temporary TYPEOverhead ❑Not Applicable
titChange ❑Not Applicable °Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts, to,o / a'{0 Receptacles# Circuits#
Phase I
Amps /Ob Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher OGarbage Disposal . °Dryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C °Electric Sign
OMotors ❑Gas Pumps 00ther
DESCRIPTION OF ALL WORK BEING DONE 1�ir_p k a c co o_r ■c��
Y.:4-e\a.q e _ El a cAr P e. 7_1,1 p,r e∎ieJ►1e S
plaL...a.. e 0_ t.: ; &
VALUE(Including labor and all materials including light fixtures)$ DD1 a=
MASTER ELECTRICIAN ■•P.r ` Rif 1V‘k'k' R 44g.,
Received Time Dec:. 28. 2012 9: 55AM No. 1994 3/02