HomeMy WebLinkAbout0157430-Electric � CITY OF OSHKOSH No 157430
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1219 ALGOMA BLVD Owner STEVEN P/LYNETTE R THOMA Create Date 08/02/2013
Contractor WITZKE ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service �New � Change � Temp 0 N/A _� Type � Overhead � Underground �
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances
I
I
i
Use/Nature of SFR/Install 15'x 36'inground pool with a 4'vinyl fence surround per site plan submitted
Work
� �:
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: ��'� Date 08/26/2013
� Permit Voided l� Parcel ld# 1202600000
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.
AUG.26.z013 12�43PM WITZKE ELECTRIC N0.286��P;1i1 � '�'/��
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� , �'� �� ��
.� Cily of Oshkosh
Div[sion ofInspection Services �
P,O.Box 1130 �
Oshkoah,WI 54903-1130
Phoae(920)236-5050
Fax (920)236-SO&4 � �---I
CN TME WATF.R
ELECTRICAL PERMlT�►PPL.fCATION
Ail information atter boid categoriea must be provided.
Incomplete applicat'tons will not be processed.
� App�ication(s)and fee(s)can be brought to City Hall,Room 205 or mailed to lnspection Sarvices,PO Box 1128,
Oshkosh VVX 54903-1 a28. Coatraeaci�ng work without permit(s)will result in fees being doubl�d or$100,00 pIua t6e
normal pe�nit fee,which ever is greater.
OR
j��►oa �,;e c contractor bartf�r ailnj� en ti�e P rmlf F�e Ac ounf vat�m qnd have adeauQta �u�da`chec�E er
��vou wan; th 8 »rncesssd throu�h your acco,Jrn1 ❑
DATE � ^ a� ^ ��
JOB A.DD�SS 1`� b �.J�J
OWNER �.�� •2 ��
CONTRACTOR 1,�9 :�! 2��� �C� G�"r:�
CHECK �ALL APPLICABLE �
CATEGORY
ingle Family �Duplex 17Multi-Family OR.eatal C]Crnnmorcial C]Tndus�ial
SERVICT C1New pTamporary TYPE ❑Overhead �Not Appliaable
�:haagB �Not Applicabl� �1Jnder�ound
FILL YhT T'$T�APPROP�ATE BLtLNIC WI'�'H TH��
Volts IZ D / ��k a Receptaca�# CErcu�ts#
Pbpse - / -
A•mps Swotches# Fi�ctnres#
C�CK �ALL APPLICABLE
DRange ODishaasher OGarbage Disposal . 17Dryer OVVater Heater
CIF�OIZ Hlower DFurnaco C1A/C ��leouic Sig� ;
❑Motors ❑Gas.Pumps DOther
D�SCRYY�TION OF ALL WOxtK BEII11G DO i n�1�
a e? — ; � f
� � ��
VAI.LJE(Includin�lahor and al!materials inclndtng ligbt Gxtnres)� ��S� ^
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MASTER T��CTRIC�lN ��
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