HomeMy WebLinkAbout0157753-Electric (service change) � CITY OF OSHKOSH No 157753 :
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 919 MOUNT VERNON ST Owner ALYSSA NAST Create Date 09/16/2013
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A I Type � Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
�
Use/Nature of FR\Electrical service upgrrade
Work
Fees: Valuation $925.00 Plan Approval $0.00 PermitFee Paid $70.00
Issued By: ���� Date 09/16/2013
❑ Permit Voided; Parcei Id# 1001850000
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.
SEP. 16.2013 12�28PM WITZKE ELECTRIC N0.330� P.lii �/.3
��� �.� �� ��
, c;ti ofos�xo� �
pivisfon of Inspection Services
p,0,Box 1130 �
Oshkosh,WI 54903-1130
Phoae(9a0)236-5050 ' t
Fax (920)236-5084 �
DN �WATF.R
ELECTR�CAL P�RMIT APPLICATION ,
q11 infortuation aRor bold categories must be pror►ided.
� Incomplete applicaticns will notbe procassed.
� Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to T�nspection 3e:vices,PO Hox l 128,
Oshkosh WI 54903-1128. Commencing work wit�out permit(s)wi11 reautt in fees bcing doubled or$104,00 plus thv
norrnal permit fee,which ever is greater.
OR
�i vou cre a„ ontrae! r partf fnati p !n !h� Pernifl Fee Acconn(Svste and hc�v R ad��state fu�ds, ei�ec�E here
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C�iECK�I ALL APPLICABLE
U E CATT���' �
ix1gle Family ❑Duplex OMulti-Family ❑�eutal C7Commercial ❑Indusaial ,
SERVICT aN'ew OTempvrary '�'YPE�verhea.d �Not Applicable :
�hangv I7Not Applicable l7Underground
FILL YN TSE APPROPRYATE BLAI�IK VVITH'1'HT��
Volts 1�'d ��L�� • Itecept�cle�# Circnits# ,
Pha�e, � .
A�ps /� 6wltches#� Ffxtnres#�
CSECK 6d ALL APPX.ICABLE
❑Ran�e ODishwasher QG�rbage Dispasal . ODryer l7Water Heater
�Fan OR Blower QFurnace CIA�C �Electric Sign
❑Motors Cl(�as Putaps �Other
DE$C�TION OF ALL WORK BEING DONE
i S�J �r a•
VALLTE(Indudiag labor aod all materisle iaclading light f3�ctures)$ ..�o�J� ~
MAST�R EIrECTRICIAN `\ ��"�
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