HomeMy WebLinkAbout0104302 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
522 530 N MAIN ST
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner AUTHORITY OSHKOSH HOUSING
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Type I~ Overhead
Circuits 1
Switches 1
No 104302
Create Date 09/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of MULTI-FAMILY/ Provide and install the above items in the lunch room.
Work
Fees: Valuation
Issued By:
$555.00 Plan Approval $0.00 Permit Fee Paid
$0.00
Date 09/19/2003
Permit Voided
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 PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 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.
WITZKE ELECTRIC . N0.812 P.4/4
ELECTRICAL PERMIT APPLICATION
All iaf,~iotl ~ ~old catcgo~i~ rnuat be provided.
~eomple~ spplicatio~ will not be processed,
· Appliaation(a) and fee(s) can be brought to City !-hll, Room 205 or mailed to Inspection Services, PO Box 1129,
Oshkosh WI '54903-11:18. Commencing work without permit(s) will result in fe~s being doubled or $100.00 plus
normal permit fcc, which ever is
OR
If you ar~ a, ei~l~guetoP partielvatine i~ tie PermH Fee ~ ccount 8_~t~rn, and tayindto~ate funds, cae~t
CI-I~CK g ALL APPLICABLE
USE CATEGORY
EISingle Family [:]Duplex emily
sz~vxc~ UNew _~
r~Chanl~e ~'blot Applicable
riP, entel ElCemmercial n Industrial
TYI~ ~Ovarh~ad ~ot Applicable
[ilUndcr~'ound
FILL IN TI~ A~PROPRL%TE BLANK WITH
Volts / Receptacles # ~ Circuits
Pha~e
Amps Switahes # J Fixtures
CHECK g ALL A?PLICABLE
[3R, aal~e ODishwasher EIGarba.ze Disposal [2Dryer ~Wa~er Heater
~F~ O~ Blower ~P~ace ~MC UElcc~c Si~
~Motors ~Oas P~ps ~Other
nzscmmos or .~ wo~ sn~'o ~. ~
VALUE (I. neludin$ labm' and