HomeMy WebLinkAbout0156044-Electric /�'� CITY OF OSHKOSH No 156044
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1808 OHIO ST Owner MICHAEL A/JULIE A HERT Create Date 06/06/2013
Contractor WITZKE ELECTRIC INC Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type 0 Overhead � Underground _ �I
Volts Circuits 1 Luminaires 3
Amps Switches _ 2 Receptacles 1
Appliances � �'�
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Use/Nature of FR\Bath remodel ,
Work
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Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00 J
Issued By: Date 06/06/2013
� Permit Voided I Parcel Id# 1407630000
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
Inspectio� (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.z013 9�07AM WITZKE ELECTRIC N0.089 P.lil! —'
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Ciry of Oshkosh
Divisiob of I�tspecdon Services .
P.O.Box 1130 �
Oshlcoeh,WI 54903•1130 �
Phone(9z0)236-5050
Fax �9ao�z36-sosa I
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oN ni W/�7FR
ELECTRICAL PERMIT APPLlC�ATION
All inforntation after bold catagorjes must be provided.
Incomplete applications will not be processed,
� Application(s)and fee(s)can bo brought to City Ha.U,Room a05 or mailed to Irispection Services,PO Box 1128
Oshkosh yVI 54903-1128. Conuaoncing work wi�out permit(s)will rosylt in fees being doubled or$100.00 plus tho
normai permit fee,whiah ever is greatcr,
OR
f a rroc ar ' ttn e P Fe ar� ate d h � u„ �, �
fa sa r our a t []
DAT� � G�� �
JOB ADDRLSS_ /g C, $, ���p �.�( �
OWNER � 't' � ��'�' �
CONTYtACTOR �'� � ���t r� '
C$ECK BI ALL APPLICABLE
SE CATEGORY
�iir�gle Family ❑Duplex �Mu1ti-Family plZental ❑
. Commercial QIndustrial
SERVIC� �New ❑Temporary TYPE DOverhead ot Applioable
QChange �I'ot Applicable OUadergrouad �
FILL YN TSE APPR4PRIATE BLANK WITH TI�� '
Voltr / Recepi�cles# Circalts# �
PhASe
`��� Swptches# c� Fiztures#_,�
CI�ECK�f ALL APPLICABLE
O�anBe �bishwssher dGarbage Dfspc�sa] . �Dryer �]Water Heater :
an OR Blowar pFurnace DAJC OEle+ctric Siga
❑ otora �Gas Pumps DOther
UE3CRlpTION QS L WORI�BEING DONE ` � � r �oM
1
�VAL[TE(Ypclud➢ng labor aad all ro9te,rials iacluding Ifght Sxturee) �J� ^
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MAS'1'TR ELECTRICIAN_�� ��.1�"� '
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