HomeMy WebLinkAbout0155074 - Electric CITY OF OSHKOSH No 155074
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2300 WHITE SWAN DR - Owner PETER J/MEGAN H LANG Create Date 04/17/2013
Contractor WITZKE ELECTRIC INC _ Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service 0 New O Change 0 Temp • N/A Type O Overhead O Underground
Volts _ Circuits 20 Luminaires 37
Amps Switches - 31 Receptacles 49
Appliances Range, Fan or Blower,Dishwasher,Garbage Disposal,Water Heater
Use/Nature of SFR/REMODEL FIRST FLOOR **debit acct
Work
Fees: Valuation $11,000.00 Plan Approval $0.00 Permit Fee Paid $229.00
Issued By:'y nji Date 04/17/2013
❑ Permit Voided Parcel Id# 1521550000
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.
MASTER ELECTRICIAN Cti
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APR.17.2013 7:10AM WITZKE ELECTRIC P.1
. City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
aw M WA .
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-I l28. Commencing work without permits)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor narticipating In the Permit Fee 4ccount System and have adequate fiends, cheek her
if you want this processed through your account j] �,/t%
DATE -/ i -13
JOB ADDRESS 613° Pl/r)I7CJ .
OWNER p0 Mr 44.1--
CONTRACTOR+Z.Le E..ieofric, IYi< . f .
CHECK 0 ALL APPLICABLE
USA CATEGORY
Ingle Family DDuplex ❑Multi-Family ❑Rental DCommercial ❑Industrial
SERVICE DNew ❑Temporary TYPE DOverhead DNot Applicable
OChange Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# l Circuits#, 2D
Phase
Amps Switches# t37 Fixtures 0 2 7
CHECK®ALL APPLICABLE
Ad-Range rd)ishwasher ,CGarbage Disposal . ❑Dryer EKater Heater
Allan OR Blower DEurnace DA/C DElectric Sign
❑Motors. ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ¶E l/tAhd.Q..( tc 5. Qv1f
36 I
VALUE(Including labor and all materials including light fixtures)40 XL__
MASTER ELECTRICIAN - . ��.*►1 C �C %1 9214" Se'
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