HomeMy WebLinkAbout0156160-Electric (service change) � CITY OF OSHKOSH No �ss�so
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD '
ON THE WATER
Job Address 2847 STONEY BEACH LN Owner GLORIA R MOORE 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 �
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances �
Use/Nature of �SFR\100 OH to UG&W/F Generator
Work '
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Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By: Date 06l13/2013
❑ Permit Voided I Parcel Id# 1415450000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 155 E PACKER AVE OSHKOSH WI 54901 - 1659 Telephone Number (920)235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
JUN. 13.2013 8�39AM WITZKE ELECTRIC � � —-"' - ' — � N0.109-- — P.12-- --�.,._ ;
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cuy orosn�osn .
Division of IASpecqoa 3ervices '
P•0.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)a36�5050 �
Fsx (920)Z36-5084
ELECTRICAL PERMIT APPLICATI�N o"r"F w�r
All informadon af�ter bold categories a�tsst be pro�dad.
Incomplete appltcaaons vsr�aot be processed,
� Application(s)and fee(s)can be brought to City Ha]1,Room 205 or mailed ro Inspeetion Servioes
Oshkash WI'S4g03-1128, Comnzencing werk without �PO Box ]12$
normal perrnit pce� which ever is geater. . ��t�g��lI result in fecs being doubled or$100.00 plus the
OR . '
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C$ECK�I AI',L APPLICABLE �
CATEGOR'Y
ingI�Farnily C]Duplex dMulti-Fsmily �Rental ❑Commercial Dlndus '
SERVXCE ONew dTemporazy tnal
��8e ONot Applicable Tl'�� dOverhe�d C7Not Applicable :
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FJLL�T THE APPROPRiATE BLAl1'K WITII��g�� .
Vfllts d O 6t`�0 Receptazles#
P�ase . Circnits#
�ps--L--– Sw9tches#
Fixtures # .
CfiECK H ALL A,PPLICAB7.�
�Range 4Dishwasher OGarbagc Disposal pD �
n�ar�O.R Blower 4Fumace p�C rY ❑Water Heater
ClMotors ❑G�p� B QElectxic Sign
P ❑Other
DE3C'RIPTION OF AY,L WORK BEING DONE 4 f J i C C,��}
aJ e� � �
e o — � f �
vAI.UE (Includiog labor and al! materials lncludtn$ligbt tziures) $ �,��7p� � ��
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