HomeMy WebLinkAbout0157375-Electric (repair service) � CITY OF OSHKOSH No 157375
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1135 OTTER AVE Owner RICHARD L SAVKA Create Date 08/22/2013
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service � New � Change 0 Temp � N/A Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
i
Use/Nature of DUP\Repair service following storm damage
Work
� I
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: Date 08/22/2013
❑ Permit Voided'I Parcel Id# 0802540000
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
I�spection(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.22.2013 8�56AM WITZKE ELECTRIC f 0�78�, P.�i1�;t,� �.3
Ciry of Oshko�h •
: Division of Iaapecdoa Services �
P,O.Box ]130 �
Oshkoah,WI 54403-1130
Phoae(920)236-5050
Fax (920)236•5084 ' �
, ON TM8 WATER
ELECTRICAL PERMIT APPLlCATION
All information after bold categories must be provided.
Incomplete applicaaons will aot be processed,
� t�ppIication(s)and fee(s)can be brought to City Hall,Room ZOS or mailed to Inspcction Services,PQ Box 1128,
Oshkoeh WZ'S4903-1128. Commencing work without permit(s)will result in fees being doublcd or$100,00 plus the
normal permit fee,which ever is greater. '
OR
,(�,y�u are d ea�rractor narticinating in rhe P�rr,tit F¢e Acenunr Svsten, anri h�ye edeqe� re funda check here
if vou wanr thf �rocessed through your account �
. DATE �'" °� � " �3
JOB ADDRESS�_ I � 3 5 b��r� ��'�-�
OWNER �Z c_��r��y�,9 �,,�� �
CONTRACTOR YV t� ��"1r�C, T ['_ • :
CSECK�f ALL APPLICABLE
�U E CATEGORY
Single Family ❑Duplex ❑Multi-Family �Rental C]Commercial Cllndustrial
SERY�[CE i�New DTemporary � TYPE"�dverhead ❑Not Applicable
�Change �Not Applieable ❑Underground
FILL IN TSE APPROPRIATE BLANK WITS'THE NUM�ER �
Volts /do / �`{� Receptacles#� Circnits#
Phase I
Amps / Swftches# Flxtures# �
CH�CK�1 ALL APPLICABLE
ORange �Dishwasher ❑aarbage Disposal ODryor ❑Water Heater
�Fan OR Blower ❑Fumace ❑A/C ❑Electrie Sign
C.7Motors C1 Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DO1VE ���1�i i � Q.1 � i�'Z
� n "' ��e 1 (`� �
VALUE (Ineludiug I�bor aAd aA materials including Ilght ffxtures) � ��9 �
MASTER ELECT'RICIAN
� �,L� ���' ��
� `� ~
3�oa