HomeMy WebLinkAbout0102565-Electric (service change & basement)0 CITY OF OSHKOSH No 102666
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1806 DOEMEL ST Owner JOHN S N ZARBANO /MERLAINE A A Create Date 07/01/2003
Contractor WITZKE ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New 0 Change 0 Temp Type Overhead 0 Underground
Volts 120/240 Circuits 2 Fixtures 6
Amps 200 Switches 2 Receptacles 6
Appliances
Use /Nature of
Work
Change to a 200amp service and basement remodel (1 CATV jack, 2 telephone jacks & 3 baseboard heaters with thermostats).
Fees: Valuation $3,260.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
LJ Permit Voided
$90.00
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent /Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102
Date 07/01/2003
Telephone Number 920- 235 -6572
JUL. 1.2003 9 :05RM WITZKE ELECTRIC
City of oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI $4903 -1130
Phone(920)236 -5050
Fax (920) 236-5094
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided,
Incomplete applications will not be processed.
NO. 053--"P.3/3
\W/
• Application(s) and fec(s) can be brought to City Hall, Room 205 or mailed to Inspee60 Services, PO Box 1128,
Oshkosh p rm tfee, W134903-1128. ch Commencing work without Permit(s) will result in fees being doubled or s 100.00 plus the
normal permit fee, which ever is greater.
OR
i}
CBECK 0 ALL APPLICABLE
USE CATEGORY
(single Family ❑Duplex ❑Multi - Family
SERVICE ONcw OTemporary
hange ONot Applicable
DATE- `% / Q3
[]Rental 0commercial ❑Industrial
TYPE gUvenccad ❑Not Applicable
Underground
FILL IN THZ APPROPRIATE BLANK WITH THE h2 1igER
Volts
Phase Receptacles #_4.
Amps Switches
CHECK 0 ALL APPLICABLE
0Ran0 ❑Dishwasher
❑Fan OR Blower ❑Furnace
aMotors 1JGas pumps
OF ALL WORK, BEING
%, V ALUE (Including labor and all
MASTER ELECTRICIAN
❑Garbage Disposal
❑A/C
❑Other
filatures) 1. �.2� 7 ,Q p
Circuits"
Fixtures
❑Dryer ❑WVer Hearer
❑Electric Sign
3/02
Electric Permit Work Card
Job Address 1806 DOEMEL ST Permit Number 102565 Create Date 07/01/2003
Owner JOHN S N ZARBANO /MERLAINE A A Contractor WITZKE ELECTRIC
Category 634 - Residential - Service Change
Service 0 New 0 Change ❑ Temp O N/A Type 0 Overhead O Underground O N/A
Volts 120/240 Circuits 2 Fixtures 6
Amps 200 Switches 2 Receptacles 6
Fee $90.00 ❑ Value $3,260.00
Appliances
Use /Nature
of Work
FR/ Change to a 200amp service and basement remodel (1 CAN jack, 2 telephone jacks & 3
aseboard heaters with thermostats).
Inspections:
Date 07122/2003 Type Service
REQUEST LINE.
7/22103 called in
7/28/03 mailed in
Date/Time requested: 07/07/2003 01:35 PM
Access:
Inspector Jon Fischer
Notice Type: Phone Number: 235 -6572
approved
Ready Date/Time: 07/22/2003 11:00 AM Requested by: WITZKE ELECTRIC - Tim
O Reinspect Fee O Fee Wavied ❑ Reinspect Fee Paid
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