HomeMy WebLinkAbout2013-Electric (service change) � CITY OF OSHKOSH No 158683
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1302 WITZEL AVE Owner MARY JANE KETTLEWELL Create Date 11/08/2013
Contractor WITZKE ELECTRIC INC Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A __; Type � Overhead � Underground �
Voits 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances - —�
' I
`_
Use/Nature of iSFR\Replace panel due to bad main braker
Work
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Fees: Valuation $5 00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: Date 11/08/2013
❑ Permit Voided Parcel Id# 0607990000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 155 E PACKER AVE OSHKOSH WI 54901 - 1659 Telephone Number (920)235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone '
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
rrc�v. �.�013 1z�21PM WITZKE ELECTRIC N0.499 P.lii
�'.�.�td /l^ 8''Ia �
City of Oshkosh
1)ivision of I»spection Services
P,O.Sox 1130 �
Oshkosh� WI Sa903-1130 �
Phone(920)236-5050
Fax (920)236-5084 �
ELECTRICAL ERM17' APPLICATION oN rMR /1TFR
A11 iaforn►atien after bold categori�must be provided,
Incompl�tc appl 'ot�s'will aot ba procossed,
• Application(s)and foe(s)can be bropght to City Hai ,ROOit] 205 ar�0d t0 IriBpBCtio�$orv1Ce8,PO Box 1128,
Oshkosh WI 54903.1]a8, Coauneacing work with ut parmit(s)will resuk in fees being doubled or$100.00 p]us the
no�mat permit fee, which ever is gres,ter,
OR
onrrvc or ct » E a e ude ch c
�,{ eu wont ehis roc��d threv�h vouM nnww•in/
DATE_ 1I~ S ^I�
JQB AbARES3 ��a ;���, � �
OW'1vE
Corr�,Arro� • '
CHECK L(ALL APPL]CABLE
USE CATTGORY
❑Single Family C]Duplex C]Multi-Family �Rental ❑Commercial ❑Iadus�ial ,
SERVYCE cw OTemporary ' ' � TYPE��yerhBad C]Not Applicable
��haage C7Not Applicable � ❑Under und
�
FILL IN TH�APPROPRIAT$��,p�g���� �
Votts lteceptacles# Circuib #
Pha�e
Amps Sw9tcha# Ffumtre�#
�
CHECK�f ALL APPLICABLE ' �
d�$4 �bishwesher CJC�azbage Disposal , ❑Dryer �Wat�er Heater
OFan OR Blower C]Furnaca DA/C . DElectric Sign
❑Motors ❑Gas Pumps 170ther ' .
DE5 TIO OF Y.L WORK B� G bONE ����
� . --
' � �
. �
VALUE(Itieluding labor and alt�aterials iocludf�g[ight fiziuro�) �
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MASTTR ELECTR.ICYAN � �i�d 1�'\ '�"
, 1 '� � � 0 •-
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