HomeMy WebLinkAbout0104463-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
256 W 17TH AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SYNDA J JONES
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 0
No 104463
Create Date 09/30/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Provide and install 4 new 110-volt receptacles (2 in the livingroom & 2 on the front porch). Rewire 3 more.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 09/30/2003
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.29,a003 3:52PM
Cit7 of O~kosh
Division of Im~.-c~on Services
O~nsh, ~
Phon~ (920) 236-5050
T~ (920) ~6.50~
NITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
Ail i~ormation after l~old categories must be provided,
Incon~lete applicationS will not be processed.
H0.894 P.3/4
· Application(s) sad fee(s) can be brought to City Hall, Room 205 or mailed to Inspection SFrvicns, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work witho, u~ permit(s) will result in fees beirlg doubled or $100.00 plus the
normal permit fe~, which ever is greater.
OR
If You. re a contraCtOr ~artict~atin~' f~ t~u~ )~erottt Fee Accqq~t Swt~m and have~d~auate
i~ Vou want thlLr~rect$.~ad tfirou~h Vo#r ucc.~mJ_ J~
I .
CHECK ~ ALL APPLICABLE
TEGORY
Family r~Duplcx r'lMulti-Family
SERVICE [3New r~Tc~Ipe~
OChsugc 1;~'6t Applicable
r'lRental ~Commerc[al O.lndustrial
TYI~E F1Overhead ~c~ble
T1Under~ound
·'ILL IN THE APPROPRIATE BLANK %VITH TH[
Volts ~ Receptacles
Phase
Amps Switch~ ~
Circuits
Fkxtares
CHECK [] ~J~L APPLICABLE
~]R~ng¢ ~Dishwasher OGarbage Disposal E1Dr~cr ElWarer Heater
=Fan OR Blower r'lFumacc EIA/C r'lElocma Sign
r~Motors [-1Gas Pumps E~O~her .. .
DESCRIPTION OF. AI~ }¥O1~ BKLN O DO NK '~, e,~,' ~ ~ T~I( ~