HomeMy WebLinkAbout0104376-Electric (basement receptacle/shed)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2399 GOLDEN AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GARY/JULIE BEYER
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 1
No 104376
Create Date 09/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Provide and install one 110-volt recp. in basement and wire garden shed.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 09/24/2003
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.
WITZKE ELECTRIC H0.850 P.2/2
ELECTRICAL PERMIT APPLICATION
All i~ fonmiiou afar bold categories u~st be pmvHed.
Iucomplete applicadom will uOt be pro~esmcd.
· Appliaa~iouCs) and fee(s) eau be brought ~o City Hall, Room 205 or maitcd to Inspection Services, PO Box 1128,
Oshkosh ~ '54903-1128. Coruscating work wi~houl permit(s) wili rcsuh ia £¢cs being doubled Or $100.00 pluS
normal peri, it fee, which ever is greater. '
OR
[~gzoJ~ are a ¢ontraclor Oartiet~atin~ ~ the Pe~lmtt P~e discount $3t~tem and ~av~ adeauate t'unds, check ~ere
if you want thf~ PrOl~zad through your account ~
3'OB ADDI~ o ~
CHIiCK [~ ALL APPLICABLE
~EGORY
E~Single Family F1Duplex ElMulti-Family
EICornmcr~ial nhdus~rial
TYI~ ~Ov~rhead [1~ Applicable
ElUnder~round
FILL IN THE APPROPRIATI'.' BLANK WITH THE IXrUMBER
Volts
· ,, / Receptacles ~.~...__
Phase
Amps Switches ~.
Circuits
Fixtures
CHECK g ALL AI'PLICABLE
~Range nDishwasher [3Garbage Disposal [3Dryer [3Water Hearer
~Fan OR Blow~ ~Fumace OMC ~EIe~c
OMoto~ ~O~ P~ps ~O~cr
DES~I~ ~ .~ WO~ ~E~G DO~.
~,,
VALLrE (Including labor