HomeMy WebLinkAbout0154442-Electric (bathroom remodel) CITY OF OSHKOSH No 154442
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1219 MERRITTAVE Owner LANE R EARNS/FRANCA R BARRICELLI Create Date 02/12/2013
Contractor WITZKE ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause _
Service O New O Change O Temp • N/A Type O Overhead O Underground
Volts Circuits _ 2 Luminaires
Amps Switches 2 Receptacles 2
Appliances Fan or Blower
Use/Nature of SFR/BATHROOM REMODEL **debit acct
Work
Fees: Valuation 1 $1,600.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: frrit)J Date 02/12/2013
Permit Voided] Parcel Id# 1100840000
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.
FEB.12.2013 11: 17AM WITZKE ELECTRIC NO.7�9�,�cP. 1/1 p�' jo1• /3
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City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 Hlr
Fax (920)236.5084 I it
ON TMF W RR
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$100,00 plus the
normal permit fee, which ever is greater.
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DATE 'a • Ia - l3
JOB ADDRESS I a I 9 4 C
OWNER 'FP 6......c.& 7o._ 6.4 c ; c_e_1<< .
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CONTRACTOR_ to..)i+" 2 !'ec_*C i L "Z''�C -
CHECK ALL APPLICABLE
U CATEGORY
fiingle Family ODuplex C1Multi-Family ❑Rental OCommercial °Industrial
SERVICE ❑New ❑ emporary TYPE ❑Overhead Not Applicable
1Change Tot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE Mann
Volts / Receptacles# og Circuits#__Q___
Phase
Amps Switches# Fixtures# W 6
CHECK Fig ALL APPLICABLE
GRange ❑Dishwasher dGarbage Disposal . ❑Dryer OWater Heater
Xan OR Blower °Furnace CIA/C ❑Electric Sign
ElMotors. ❑OesPumps ❑Other_ -
DESCRIPTION OF ALL WORK BEING DONE_ 0,.' -a'o e re\ ' .2,S;/
• w
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VALUE (Including labor and all materials Including light fixtures)$ b/, DO
MASTER ELECTRICIAN . .. 's F7
Received Time Feb. 12. 2013 11 : 09AM No. 2300 3/02