HomeMy WebLinkAbout0156045-Electric (service change) � CITY OF OSHKOSH No 156045
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1125 MERRITT AVE Owner PAUL M/COURTNEY L VANAUKEN Create Date 06/06/2013
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead 0 Underground I
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
� �
Use/Nature of SFR\Service change
Work
�
- -- �
Fees: Valuation $695.00 Plan Approval $0.00 PermitFee Paid $46.00
Issued By: ��� Date 06/O6/2013
� Permit Voided! Parcel Id# 1100730000
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 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.
JUN. 6.2013 9�34AM WITZKE ELECTRIC N0.090 P.1
ciry ofoan�mgn ' -
Aivision of Iaspe�tion Services �
P.O.Box 1130 �
Oshkosh,vVI54903-1130
Pbone(920)236-5050
Fax (920)a36-5084 ' K
. ON TME WATER
ELECTRICAL PERMIT APPLICATION
All informadon after bold cate�ories must be provided
Iacomplete applications will nct be prxessed.
� Application(s)aad fee(s)can be brought to City Hall,Room a05 or mailed to Lnspeation Services,PO Box 1128,
Oshkosh WI'S4903-1128. Commeacing work without permit(s)will result i�fees being doubled or$100,00 plus the
normal permit fee,which ever is greater. ' �
OR
If vore are a�r,,onr:cero�nartic�R,atin�; rn the Ptrnt Fee Aecount�Sv.rtem �and have adeauate funds. cJ�eck here
!f vou want this �rocess�d throveh vour acco� [� '
� . � DATE ��G�"'I� '
/ �A ,
JOB ADDRES3 I(� /"/1`��'"I ' , :
ow�v�� �� 1/Q,� �Gl�' � � �
co�,cro� W i�-z�e� �l��'�� �" � c - :
C$ECK �1 A,LL APPI.�CA�LE
US CATEGORY
ingle Family �l�uplex �Multi-Family ❑Rental ❑Commercial Calndustrial
SERVICE L]New �Temporary Z���verhead �Not Applicable
�hange C]Not Applicable ❑Uaderground
'I'�.T•IN THE APPROPRIATE BLANK R�TH THE�FSR �
Volts /� /a5� Receptacles# Clrcaits#
Pbase / '
Aaips_ ,�t2Q Switches# Ffxtnres# �
Cffir CK 6�1 ALL APPLICAB�.E
Okange �Dishwasher ❑�arbage Disposal ❑Dryer CaWacerHeater
❑Fan OR Blower �Furnace ❑A/C C]�Elec�rie Sign
C�Motors C]Gas Pumps ❑Other _ _
DESCRIPTION OF ALL WORK BEING DONE
VALUE(Including labor and all materials includlag lisht flRtures)� lD���� .
MASTER ELECTRICIAN �� �
��,��-,�
� ��o�, 3�0�