HomeMy WebLinkAbout0104767-Electric (basement)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
883 W 18TH AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SANDRA J EVANS
Category 612 - Residential-Single Family Addition/Ret
No 104767
Create Date 10/14/2003
Plan
Type I~ Overhead ~ Underground
Circuits 0 Fixtures
Switches 0 Receptacles
Appliances
Use/Nature of SFR/Change recp in basement to GFR. Relocate switch & light in basement. Change 220V a/c recp to 110V. Misc repairs.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 10/14/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
0CT.13.2003 ll:24AM NITZKE ELECTRIC
H0.008 P.3/3
ELECTRICAL PERMIT APPLICATION
All im'orms~toa ai~r bold cate$orles must be provided,
Incomplete applications Will not bc processed.
· · Application(a) and f~e(s) can bc brouffht co Cily Hall, Room 205 or mailed to I~spection Services, PO Box I
Oshkosh WI '54903-1128. Commuting work without permit(s) will result m ~eea being cioub ed or $I00.00 plus the
norn~l pm-nit f~e, which ever is sr~tcr.
OR
· oa~ss ~S"b ua. ~ ~,/4.x ~A~ /O-/~
[~ ALL APPLICABLE
u__S~AT~OO~V
Family ~upl~x ~ul~-F~ly
S~R~CE ~New ~T~or~
~ge ~t Applicabl~
FILL IN TFI~ APPROPRIATE BLAINK WITH TI:TK
Volts t Receptacles
Phase .,,
Amps __ Switches #
Cireulta #
FLxmr es #.
CIiliCK ~ ALL APPLICABLE