HomeMy WebLinkAbout0155866-Electric (service change) � CITY OF OSHKOSH No 155866
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1016 OTTER AVE Owner ANN YANA Create Date 05/29/2013
Contractor WITZKE ELECTRIC INC• Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A__� Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances i-- -- --- —----- — __ _ _
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Use/Nature of FR/ELECTRICAL SERVICE UPGRADE **debit acct
Work
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Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued 9y: Date 05/29/2013
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❑ Permit Voided � Parcel Id# 0205310000
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 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 performed within two business days from the time the project is ready.
MAY.29.2013 8�01AM WITZKE ELECTRIC N0.060 P.li1
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City nf Oshkosh �'�
Divisian of Ir�spection Scrvices �
P.O.Box 1130
Oshkosh,WI Sa903-1130 �
Phoae(920)236-5050
�ax (920)236-5084
CN HF WATF.R
ELECTRICAL PERM17 APPLICATION
All is�formation aRor bold categories must be pravidEd.
Incomplete applications wilt aot be proaessed.
• Application(s)and fee(s)caa be bmught to City HaU,Room a05 or mniled to Inspection Services, PO Box 1128,
�shkosh WI 54903-1128: Commenaing work without permit(�)v�►�1 result in fees beiag doubled or$100.00 plua the
nor�nai permit fea,whiah eVer ie�greatcr.
OR
�are a cantract t �artic'�ating_in_t�ie Per»�tr F'pa Accou�t Svstem a�d heve �deoua►e tundp �hA�'k here
i1'vou wanr thfs proeessed thr�g�yc�u_r��..�Lnt ❑ '
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corrz�icTO�. t� ����c ��.e�r ; c � '
CHECK E�I ALL APPLICABLE
S CATEGORY
1'�n.gle Family C]buplex OMulti-Family C1�iental C]Coa�znercial �Indust�nrial
SERVIC� i]New CJTemporacy TYPE �vorhead ❑Not Appliaable
�angv ONot AppJicable AiJnderground :
FILL IN TS�APPROPRIAT�$LANK V1�TH TI� [�R
Volts 1 Ze I 4� Receptacles # Circnits�
PhaBe 1
Amps Id� T� Swft�ches# FiYtnrea�
CSECK�ALL APPLICABLE '
ClRange ODishwashec dCarbage Disposa.l . ClDrycr C1Water Hsater
OFan OR Blower OFurnaae CIAIC � f]Eleatric �ign
nMotors ❑C3as Pumps ❑other
D�SCRiPTION OF ALL WORK BE�TG DONT r ;� ;
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VALUE (TncludSn�labor and a1t msterisls includin�li�ht tfxtares),� ~
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MASTEIt ET,ECTRICIA.N ����"l� �'
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