HomeMy WebLinkAbout0157794-Electric (exhaust fan & receptacle) /�'� CITY OF OSHKOSH No 157794
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 208 STERLING AVE Owner KAECEY PITZ Create Date 09/18/2013
Contractor WITZKE ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type Q Overhead � Underground
Volts Circuiks Luminaires
Amps Switches Receptacles
Appliances Fan or Blower
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Use/Nature of FR/INSTALL BATH EXHAUST FAN AND ADD RECEPTACLE "debit acct
Work
Fees: Valuation $1,100.00 Plan Approvai $0.00 Permit Fee Paid $87.00
Issued By: � Date 09/18/2013
❑ Permit Voided i Parcel Id# 1002400000
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 PACKERAVE 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 othervvise,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. 18.2013 8�10AM WITZKE ELECTRIC N0.3(2��P.1/19'•/�^(�
�'��°
.
� Chy of Oehkosh
Divisfot�of Inepecxion 3ervicas �
P,O.Box 1130 �
Oshkosh�Wi 54903-1130
Phone(920)a36-5050
Fax (gao�Za6-sos4 K
ON TNE wATFR
ELEGTR�CAL PERMIT APPI.ICATION
All informstion after bold categories must be pcovfded.
lncomplcte applicatiorts wlll aetbe ptocesssed.
� Application(s)and fee{s)can be brought to City�Iall,Room 20S or mailed to Inspection Servioes,PO Hox 1128,
Oshkosh WI 54903-1128, Commeaaing work without permit{s)will result in feea bei�ng doubled or$100.00 plus tho
narmal permit fee,which ever is greatcr.
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!f s�^�� ��s a eontraotor a�rtic���{g fx i/re Pern►it Fee Accauht Systern and have a�ftat�funds cheak h�re
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if you wani thi.► proc_ s�sed_zl��ou•�,our account
-- —-- DATE ( �/ 0 " (�
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OR'NER �� � ���/ �� '�,.�
CONTRACTOR. 1�.� i �'2�C.� ��� cl`r i `� ''
C�ECK E�!ALY.APPLICABLT
�S CATEGORY
ingle Family ❑Du�lex ❑Multi-Fami]y ❑Rental OCommercial ❑Industrial
SERVIC� E�Tew � empcuary TXP� DOrrerhead �Not Appllcable
pChapge �ot Applioable ❑Underground
FILL YN T�APPROPRIAZ'E BI,ANK WITH TI�E NUMS
Votts 1 Receptscles# `� Cixcpit�# �I
PhAae
Abnpa b�vRtches# '�''�� F�xtures# ��
CHECK�ALL APPLICABLE
ORar►ge ❑bishwesher ❑Garbage Dispo�al - pDryor C7Wat�Heater
�an OR Blower C]Furnaco CIAJC OEleetric 3iga
❑Motors ❑Gas Pumps ❑Other
DT6CRIPTION OF ALL WORK BEING pONE ;t� � �e.'�,�_g�t �
/� � �fi �S,.
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VALLJE(Ioalud�ng labor and a![matcriats iacluding Light fiYtures) � � , �T�
MAlS�'EZi,kr.�CTYtYCYAN .\ . � _, �.T, �sM.,l'�� 't'� �'��
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