HomeMy WebLinkAbout0157353-Electric (service change) /�"� CITY OF OSHKOSH No 157353
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 162 W 21ST AVE Owner CLIFF G/CAROL M PAULSON LIFE ESTATI Create Date 08/21/2013
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
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Use/Nature of SFR\Replace overhead service-60 to 100 amp upgrade
Work �
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Fees: Valuation 275.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date 08/21/2013
❑ Permit Voided! Parcel Id# 1402360000
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.
Hu�.�1.�e1� 1�18PM WITZKE ELECTRIC N0.275 P lil d�,�f���
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cicy ofos��h � a :15
Division of Iaspecdon 3etvices
P.O.Box ]l30 � :
Oshkosh, WI 54403,1130 �
Phone(920)236-5050
Pax (920)236-5084 • u
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ON TH wATER
ELECTRICAL PERMIT APPLICATIQN
All informa�on afccr bold categories must be provid�d.
Ibcomplcte applicarioas will nor be processed.
• ApplicatiaA(s)and fee(s) can be brought to City Hall,Room 205 or mailed to Iaspection Sezvices,PO Hox 1125,
Oshkash WI'Sa903•11Z8, Comm�ncing work without perrAit(s)will result in£ees being doubled or$100,00 plus the
aormal permit fee,which ever is greater. � �
OR
.C£vo�r are a co�tracto Dartic atfng rn th Psrmft �'ee Accou�t� etem�and have ade rat� I'undc. cheek ere
�f vou wanr �hfs nrocec�ed throu h our accoa�t �
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JOB ADD�tESS I C� a � ��
OWNER 1. �v9+t, .
corr�,croR W i i T' .
CHECK�ALL APPY.ICABLE
U E CA,TT GORY • �
�iugle Family ODuplex ❑Mulri-Family ❑Rental �Comm
erc�al ❑Industrial
g�����-^�•e�' OTe�P°�3' � TXPE �verhead ONot Applicable
�hange QNot Applicable �Undergrouad
FILL IN TH�APPROPXtIATE Bx.ANK WIT�THE NtTM�3� '
Volts �4 a�'� Receptacles# CSrcnita#
Pbase �
'�PS� , Swftches# Ffxtures# �
CHECK�ALL,4PPLICASLE '
�Range I7Dishwasher ❑p��bage Disposal l�Drycr CJWater Heater
�Fan OR Blower pFurnace DElectric Sign
❑Motors �Gas Pumps ❑Other
AE3CRIPTION OF ALL WORYC BTING DONE .� � R! �a�td
�eJ'.���� , �f� r��� ,
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VALUE (Iaoludia�lstbor and all material5 including If$ht f[�tu�e5) $ I� o� 7•~7 ,F
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MASTER ELECTRiG'IAN � �
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