HomeMy WebLinkAbout0104300 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
215 N WESTFIELD ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GABRIELS VILLA INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 104300
Create Date 09/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Add 2 additional light fixtures in conference room.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval
$0.00 Permit Fee Paid $20.00
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.
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Bho~e (920)
Fax (920)
WITZKE ELECTRIC ,PE).B18 P.8/4
ELECTRICAL PERMIT APPLICATION
All information after bold categories mu~t be provided.
lacon~lete sl~lica~io~ will not be gmces~L
. · Agglica~ion(s) md fee(s) can be ~ought ~o Ci~/Hall, Room 205 or mailed ~ ~c~on S~ces, PO Box 1128,
Os~o~ ~ '~4903-1128. Co~c~g w~k wi~out pe~t(~) will rc~t in 2c~ bc~g doubled or $1 ~.00 plus thc
no~ pe~t fee, w~ch e~r ~s geat~.
O~
If you are a contractor ~articioatlne i~ thin,errant F~count System and hav~ adea~ate funds, check her~
ff vo~ want this ~rocessed r~rouF~ your aceRg~t ~
co..rr croa W .'rzke., EIeLd-rl'c
CI~,CK ~ ALL AYPLICABLE
USE CATEGORY
OSiatle Family ODuplex /3Multi-Family
sxavzc~ m~ew _~T~
OChan~e I~¢& Applicable
r-IRental o~/~rcial OIndustrial
TYPE ~Overh~ad o~o~ ~'~ Applicable
~nder~round
FILL IN THE APPROPP/ATE BLANK WITH THE ~
Volts /, Receptacles ~ Circuits #
Phase
Amps Switches # Fixtures #
CH'gCK g ALL Ai~PLICABLE
ClP, ange ElDishwa~her [ilGarbage Disposal ElDryer
ClFan OR Blower
C1Motors I-1Gas Pumps ~Other
r
9'AL~J~il (Includlnglabor and all m n~ll~ M fixtures) $ _ -_~ ,
^ T""m' +