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/�"� CITY OF OSHKOSH No 156742 t
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1429 N MAIN ST Owner ERIC W KUENNEN/MARIANNE F JOHNSOI Create Date 07/17l2013
Contractor WITZKE ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A ' Type � Overhead � Underground
Volts Circuits� 3 Luminaires 5
Amps Switches 4 Receptacies 5
Appliances Fan, DW,GD
i
�
Use/Nature of SFR\Kitchen remodel
Work �
—
Fees: Valuation $1,700.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: �� Date 07/17/2013
❑ Permit Voided', Parcel Id# 1500960000
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 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.
JUL.17.2013 7�43AM WITZKE ELECTRIC �N0.199`�P.1 " ' � �`�
�. . .�
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CIry of Oshkosh � � �
Divisiop Of Ipspection SelviCOS ����
P.O.Box 1130 �
Osilkosh,WI 54903-1 1 30 � � �
Pbcne(920)236-5050
Fax (920)236-5osa '
� ON THE WATER
ELECTRICAL PERMIT APPLICA"CION
A11 iafora�anon after bold categories must be provided.
Incompleu applicatiobs wil)not be processed,
� Application(s)and fee(s)can�e brought to Ciry Hall, Room 205 or mailed ta Inspcction Services,PO Box I 1a8�
Osh�cosh WI'S4903-1128. Corrnnencing work without permit(s)will r�sult ir�fees baing�oubled or$100.00 plus the
aormal permit fee,which ever is greater, ' �
OR
�yQU are a contractor narrtc aatine in �Ite Permis Fe� Accou�r�Syst� and have adeouate unds chsck here
f v�_u_ wanr rltt�nroeessed through vour acc unt �
, ., DA�, 'l' ��� � 3,
JOS ADDRESS � �1 � � �e d R 1 \�i l�� �K � �, '
OWNER ���C `�" 1�qC �� o,�rirLQ �I�S�:+�
C0.�1TxtACTOR W 6� �I����C. ,�Yl
c�cx�ar.i,a,�px�zcASL�
U CATEGORY
Siugle Faraily ODuplex �Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVIC'� L1New ❑Tempotaty TYPT �Overhead �ot Applicable
❑Change �ot Applicebie �Under�'ourld '
FILL IN THE A.PPROPRIATE BLA1vK WITS THE MBER .
Volts / Receptacles# Cireufts# +�
Pbase '
Amps � $witches# Fixtures# � •
CHECK E!ALL APPLICAB�LE
C1Range QDishwasher C7�arba�e Di . osal ❑Dryer �VVater Heater
gP
�OR Blower ❑Furnaae ❑A/C QElectric Siga
❑Motors ❑Gas Pumps �Other _ _
DESCRIPTION OF ALI.WORK SEING DONT � _ � ��e�'a'�
VALIJE (Including Iabor and all materials includfng light fixtures) � �� �Qb ^ .
MAST�.R ELECTRICIAN �..i„r+�. ��- �,� � � .
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