HomeMy WebLinkAbout0159148-Electric (service entrance pipe) i
� CITY OF OSHKOSH No 159148
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 216 W 8TH AVE _ Owner ERIC D LICHTERMAN Create Date 12/26/2013
Contractor WITZKE ELECTRIC INC _ _ Category 634-Residential-Service Change Plan
Inspector Adam Krause
Service New � Change � Temp � N/A_� Type 0 Overhead 0 Underground I,
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances � - — -- —�
Use/Nature of SFR/Repair broken Service Entrance Pipe
Work
` -- -- �
Fees: Valuation _ $150.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: �jjs Date 12/26/2013
❑ Permit Voided' Parcel Id# 0900400000
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.
lltC.z6.z013 9�27AM WITZKE ELECTRIC N0.590. P.lii
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• City of Oshkosh
Division ofInspeation 3ervices �
P.O.Box 1130
Oshkosh,WI 54903-1130 �
Phone(9a0)�36-5050
F�x �9ao�a�6-sos�
N T v WAT�rR
ELECTRICAL PERMIT APPL.ICATION
AII inPormation aftar bold casegories roust be provided.
Incomplete applioationa will not be processed.
• Applioatfoa(s)and fe�(s)caa be brought to City Hall�Room 2a5 or mailcd to Inspeation Serviccs,PO Box 1128,
Oshkosh WI 54903-1128. Commencin�work withaut p�rmit(s)will result in fees bein�doublod or$100.00 plus the
normal permtt fee�which ever is�reater,
OR
Ifynu ars a contsactor nartf�jpotiJrp 1� the Pernil! Fee Accoun� erp», �„d�Q � ad� �a , eheck here,
Jf vor� roant thts,.�r_e_ceased throaeh veur as�nr�xr �
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CHECK BI ALL APPLIC,ABLL
�U GORY
amily OY�uplex OMulti-Family �Rental L7Commercial �Tndusttial
SERVICT LII�T�t C1TemporarY TX�E �head ❑Nat Applioable
Q�aage ONot Applicable (7Undergrouud
FILL IN T$E APPROPRIATE BI,,AN�VI�YTH THE�
Volts /Z� / a`� � Xtecept.�cles# � C�rcaita# :
Phase I -
�P�- /� Switches# Ff�rtares# '
CS1�CI�Rf ALL APPLICA��,E
C7Range ❑I)ishwas�er C�C�srbe�eDisposa�l! • pDryer OWaterHeater
�Fan ORBlower G1Furnaae C7A/C C]Eleahic Sfgu
❑Matore� ❑C�as�Pumps �Other
DESCRIPTION OF ALL W RK B�YNG Dp1V� RZi �,�y� P (o�o�@�
�'�JJ ; `� ' � P�"�'� �ia�
'VALCJ$(Incladfmg t�bor�nd a11 materi�ls fidcladin�light fi�tnres) O r C_
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