HomeMy WebLinkAbout0155308 - electric (redo svc entrance) CITY OF OSHKOSH No 155308
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 813 OTTER AVE Owner MARYCAROLE T BAIRD Create Date 04/29/2013
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service O New • Change O Temp O N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of SFR/REDO SERVICE ENTRANCE DUE TO STORM DAMAGE **debit acct
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: 'h,J Date 04/29/2013
0 Permit Voided Parcel Id# 0802150000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 155 E PACKER AVE OSHKOSH WI_54901 - 1659 _ Telephone Number (920)235-6572 _
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
MASTER ELECTRICIAN '46 %-•-,1"-k Cttc)---k 7de3 cyN:$
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APR.29.2013 1:42PM WITZKE ELECTRIC NO.983.7(esP.1 q
. City of Oshkosh
Division of Inspection Services
P.O,Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 01I—NCO.IH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All inibrmatfon 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$100.00 plus the
normal permit fee,which ever is greater.
OR
f you are a contractor paxtfctnatfrg in the Permit Fie. &court System and have ade to filmic, chic*hAnt
if you want thin Droces.ced through your account ❑
DATE 'Y"a 9-/3 _
JOB ADDRESS,,, J--- (:)thcc e r • �A,,
OWNER P' ) ik, 746 t6A1..D 4..%..
CONTRACTOR VV(+ke t ti G IhC . •
CHECK El ALL APPLICABLE
US;CATEGORY
Mingle Family ODuplex OMulti-Family ARental DCommeroial DIadustrial
SERVICE Mew OTemporary TYPE 6Dverhea.d DNot Applicable
Rehange CINot Applicable nderground
FILL IN THE APPROPRIATE BLANK WITH THE MOIR
Volts I aG I ago Receptacles# Circuits#
Phase_ 1
Amps /e D Switches# Fixtures#
CHECK FE ALL APPLICABLE
ORange ODishwasher CIGarbage Disposal . DDryer ❑Water Heater
17Fan OR Blower ❑p'urnace DA/C ❑Electric Sign
DMotors. 00as Pumps ❑Other
DESCRIPTION OF ALL WORK BELNG DONE %a•t 3 i c P ,4,n le g'■v\4Q
VALUE(Including labor and all materials including light fixtures)$ ,50e,
MASTER ELECTRICIAN Z .......,r-‘ Chack.
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