HomeMy WebLinkAbout0104396 EOSHKOSH
ON THE WATER
Job Address 17 LAKE ST
Contractor WITZKE ELECTRIC
Service [~ New ~ Change ~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL W/SARAH DOSS
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 104396
Create Date 09/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Remove attic tube & knob wiring. Relocate basement porcelain fixture. Rework 2 basement J Boxes to code.
Work
Fees: Valuation
Issued By:
$275.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 09/25/2003
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.
SEP.24.E003 3:13PM
C"ip of Oshkosh
Divisiott of lnspec~ou Services
P,O. Box 1130
Oshkosh, WI $49034 130
Phone (920)
Fax (920) 2~5-~084
WITZKE ELECTRIC ~0.061 P.3/3
ELECTRICAL PERMIT APPLICATION
All inforn~t~on s~c~ bold c~e~ories mu~ bc provide&
Incomplete applicaflon~ will not b~ processed.
· Application(s) and fee(s) can be broulht to City HelI, Room 205 or mailed to Inspection Sgrvices, PO Box 1128,
Oshkosh WI '$4903-1128. Commencinlt work without perrnil(s) will result in fees being doublccl or $100.00 plus thc
normal permit fcc, which ever is greater.
OR
]f vOu t~P~ a contractor ~arx~£1Datl~ (~ th# PermH Fee .l~eount System and I~ave adeg. ga~e funds, check
if You wa~t tht.~ processed throuzh~our account l~
CltlICK [].a, LL APPLICABLE
amiGORY
ly ElDupl~x ElMulti-Family
s Rv'lc'z
12Change [:~Not Applicable
ElCommercial r'lI.ndustrial
TYPE ~Overhead ~ot Applicable
[3Underground
FILL LN TH.~ APPROPRLA. TE BLANK WITH TIlE
Volts I Receptacles # . Circuits
Phase
Amps Switches ~ Fixtures
ALL APPLICABLE
i-IRangc ~Dishwasher ElGarbage Disposal r'lDryer ElWater Heater
~Fan OR Blower ElFurnacc nA/C [3Elea~c Si~n
E]Motors EIGas pumps ~Other .......