HomeMy WebLinkAbout0154896-Electric (service change) ;
� CITY OF OSHKOSH No 154896 �
� ;
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 1152 W SOUTH PARKAVE Owner MAHMOUD NOUROLLAH/FARIDEH JAFARI Create Date 04/01/2013
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A I Type � Overhead � Underground
Volts _ Circuits Luminaires
Amps Switches __ Receptacles
Appliances - - -
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, Use/Nature of DUPLEX/REPLACE PANEL,DEFECTIVE MAIN,CHECK OUT METER SOCKET,BRING GROUNDING AND BONDING UP TO
Work ODE *"debit acct
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Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: �>� Date 04/01/2013
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❑ Permit Voided ', Parcel Id# 1307140000
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
AgenUOwner
Address 155 E PACKERAVE 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 othervvise,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.
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APR. 1.2013 9�52AM WITZKE ELECTRIC NO 900�P.li1
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City of Osbkosh � �
Division ofI�apcccioa Sorvices
p.0.Box 1130 � '
Oahkosh,WI 34903-1130
Phone(9a0)236-5050 _
Fax (920)236-5084
N TME WH :R
ELEC'TRICAL PERMIT APPLICATION
All infbrm�tion after bold categorics must bc provf ded-
Incomplete applicadona will not be processed.
• APPlicatica(s)and fee(s)cap be brought to City Hall,�toom 20S or maiJed te IaspeotLon 8ervices,PO Box I 128,
Oshkosh WI 54903-1128. Commenoing work without pe�rmit(s)wi11 rosult in fees being doubled or$100.0�plus the
normal permit fee,which ever is gxeater. :t
OR �
d{vou are a_QOntraeto��artiefnati�P E� the Pern�it F ee Accnunt�vste►��hcve ade4t�ate lurida, chBCk h�r�e i
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J4B ADDYtES3 1� � a w e�� �, ?�� �'--A'��
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OWNER ,
CONTRAC'r0 ('�ZI� G� � .
CA�CK�ALL APPT•ICABx.E
USE CATEGQYtY
`�Siagle�ami]y ❑Duplex OMulii Family qRental QCommercial ❑Industrial
S�RVYCT C7New ❑Tempvlary TYPE ��varhead G7Net Applicable
�aage CINot Applicable Undarground
FILY.IN TxE APPROPRIATE HLANK W'Y'�'H THE�
Volb / Receptacles# Cfrcaits#
Phsse
�pg Switches# F�xtores#�
CHTCK 6�ALL APPLICABLE
❑Rango ODfshwuher ��3arbage Disposal . �Dryer ('Waiar Heater
ClFan OR Blower OFurnaco ❑A/C �Elec�ic Sigu
DMotvrs� ❑Gas Pumps ❑Other
b$5CRIPTXON OF ALL WORK BEING DONE p� e � �!s► � ��'� � ,`��-
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VALC]E(Iaclut]ing l�bor ar�d all materials inclading light fixtures) � i� —
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MABT�R E�ECTRYCLAN..�� •�+:1��� e�,e,T N�� � ���`
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