HomeMy WebLinkAbout0156163-Electric (service change) F
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� CITY OF OSHKOSH No 156163
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1025 DEVONSHIRE DR Owner MICHAEL P/POLLYANNA M KILDE Create Date 06/13/2013
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A � Type � Overhead � Underground I
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
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Use/Nature of SFR\Service upgrade
Work
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Fees: Valuation $1,113.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date O6l13/2013
� Permit Voided', Parcel Id# 1311190000
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.12.2013 12�46PM WITZKE ELECTRIC �0.�06� P.lil ��.��,� �:
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Ciry of pshkosh � .
Divisiot�of Inspcction Services �
P,O.Bax l 130
Oshkosl�WI 54903-1130 �
Phone(920)236-5050
Fax (920)Z36•5084 �
. T1�IE WATER
ELECTRICAL PERMIT APPLICATION
AlI informerion after bold categorieg must be provtded.
IaCOmplete applieaaons will not be pracessed.
• Application(s)and fee(s)can be'brought to Ciry Hall,Room 205 or mailed to Inspection Serviccs,PO Box 1128,
Oshkosh'WI'Sa903-1128, Commencing work without permit(s)will result in fees beiag c�oubled or S10p.00 plus ths �
normal permit fee�whieh cvcr is greater. ' �
UR
Ifvou are a contractor varitcfDatin� in the Perrnit Fee Account�Svstem�and have adeouate �vnd� sheck here ``
tf vou wont t�is aroce�s�d throuFh vour account �
, � . DATE � ' I� � �•3.
JOS ADDRESS /o� �o�SL.;r
OvVNER �.�� �Y�'\��. ' �
CONTRACTOR W l-I[�c� �I�.C�1r�G TY�C �
CHEC��ALL AP�X,�CA�LE
�� CATEGORY
ngle Family ❑Duplcx ❑Mulu-Family ❑Rental CJCommercial ❑Industrial _
SERVICE C�New ❑?emporary T'YPE Overhead ONot Applieable
�Chauge ONot Applicable �(Jnderground
FILL IlV THE APPROP�A,TE BLANK WIT$'� T�t '
Volts /�o i��1d ReceptscIes # C9rcnfis#
Pbase �
Amps a SwStches# � F4xtures#_____�___,_
CHECK Ef ALL APPLICABLE
❑Range I�Dishwasher p(3arbage Disposal pDryer pWatcrHcater
❑Fari OR Blower ❑Fumaee �A/C ❑Electric Siga
C]Motors I�Gas pumps ClQther
DESCRIPTION OF ALL WO�tK BEING DONE �,�a a r c.� �a�z d , i �.`�
� / A -� �o� !�
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VALUE (It�ctudiu�labor and all tnaterials includjng light fixtures) S _ �� � � 3 � ,
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MASTTR ELEC"TRICIAN �1
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