HomeMy WebLinkAbout0103782 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
532 O'FI'ER AVE
WITZKE ELECTRIC
~) New O Change (~ Temp
Amps 0
No103782
Owner PATRICE K VIDONI Create Date 08/27/2003
Category 634- Residential-Service Change Plan
] Type _~ Overhead O Underground
Circuits 0 Fixtures
Switches 0 Receptacles
Appliances
Use/Nature of )UPLEX/Combine 2 services into one.
Work
Fees: Valuation
Issued By:
$205.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 08/28/2003
[] Permit Voided J
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 acavity.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKERAVE 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.
ELECTRICAL PERMIT APPLICATION
All i~ormadoa at~r bold ca~loriea must be provided.
Incompl~ze applicsltons will not be processed.
· Application(s) ~nd fee(s) can b~ brought to City Hall, Room 205 or mailed to hsp~ction S~:vices, PO Box 1128,
Oshkosh WI '~4903-I 1:18. Common,rig work without permit(s) will result in fees being ~loubled or $ 100.00 plus thc
nomI p~'mit fee, wh/ch over is greater.
OR
~f ~ou arc a contractor partici~atlne ?n the P~'mlt ~_~c¢ount ~.y.$tem and ha3~e a~leouate funcl$, chick
i£ vou want this vro~td tkrotl~k your ac~unt ~
CKECK E.ILL APPLICABLE
TEGORY
Family ElDuplex [DMulti-Family
S~--RVI CE nNew ~_T~porary
~Cbange I-Cat Applicable
IDCommercial l~Indus~el
TYPE ~Overhead ~"Applicable
~Under~round
FILL L'~ THE APPROPRIATE BLA~NK %~ITH THE ~
Volts / Receptacles # Circutt~ #
Phase.,
Amps Switches # Fix/ures #
CHECK El ALL APPLICABLE
[~Ran~ ElDishwash~ E]Garbagc Disposal ~lDryer
OR. Blow~r EIFumace [2MC CIElecrric Si~n
~Mo~or~ ragas Pumps UOther
E2Wuter I=ieacef
VALUE (Ineludinl la,or and all m
~IASTER ELECTRICIAN