HomeMy WebLinkAbout0155421-Electric (service change) � CITY OF OSHKOSH No 155421
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 752 W 18TH AVE Owner BILLIE JO SCHIESSL Create Date 05/04/2013
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A j Type � Overhead � Underground '
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
APPliances — — ---�
Use/Nature of FR/ELECTRICAL SERVICE UPGRADE ""debit acct
Work '
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Fees: Valuation $900.00 Plan Approvai $0.00 Permit Fee Paid $62.00
Issued By: C � Date 05/04/2013
❑ Permit Voided I Parcel Id# 1405870000
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 otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pe�formed within two business days from the time the project is ready.
MAY. 3.2013 12�35PM WITZKE ELECTRIC �I`10.001 P.li1� ' i
I '
; �
City of Osl�kosh � 1 "
Division of In�peCt[on SeC'vices �
p,0.Box 1130
Osltkosh,V✓I 54903-1130 � � :
Pltonc(9�0)236-5050
Fax (9ao}2�6-sos� ;
ON TH.WATF.R
EI.ECTRICAL PERMIT APPLICATI�N :
Alt information after botd categories must be provided.
Incomplete applicst�ons will aot be proco:sed.
� Appliaation(s)and fee(s)can be brought to C4ty Hall,Room 205 or rnailed to Inspoction Services,PO Box 1128,
pshkash WI 54903-112g. Commeacing work without permit(s)wi11 result in fees being dou6led or$100.00 plus the
normal permit feo,which ever is greater.
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JOB ADDRE85 �s a � , �
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CONTRACTOR � ' '�c.,�,�%� r �
GHECK�AL�•APPLICABLE
`�SU CATEGORY
ingle Family ❑Duplex C]MuYti Family pRental C�Commercial DIndustrial
SERVICE ClNew ❑Temporary , ' TYPE �Qvarhead [7Not Appliaabla
�hango ClNot Applicable, Oi�nderground
FXLL IN THE APPROPRiATE BI,ANK WITIi TT�E�1�
Vol1s 1e10 __!_�_�_P� Receptacles# Circuits�
Phase _ � ,
Amps SwEtches# Fiact�res#_.�.
CHTCK�ALL APPLICABLE .
p�ga DDishwasber ' Daarbage Di�posal � �Dryar L7Water Heater
G1Fan OI�Hl�wer ❑Furnaoe ❑�►/C OEleatric Sign
❑Motors ❑4as Pumps ' ❑Other.
DESCRIPTION OF ALL WORK BTIN�DONE � cr�f� � �'�'�J r�
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V�LLT�(Including lsbor aqd all materpals includpn�tight,fixtures) . �Q�
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MASTER ELEC1'RICIAN � �a �-
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