HomeMy WebLinkAbout0104969-Electric (fixtures)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
110 CHURCH AVE
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FIRST PRESBYTERIAN CHURCH
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 104969
Create Date 10/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of CHURCH/Provide and install 2 wallpack fixtures.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid $40.00
Date 10/27/2003
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.24.2003 3:03PM WITZKE ELECTRIC
NO.12B P.2z2
ELECTRICAL PERMIT APPLICATION
All iaformadon ~m: bold cmgorics m~m be provided.
-Iacomplm applications will not be proc~sed.
· Application(s) and fee(s) can be l:ought to CRy ltall, ~oom 205 or mailed to ~pection SaUces, BO Box 1128,
Os~osh ~ f4901-112~. Co~cing w~k without p~(s) ~11 reset in Fees be~t ~oubled or $100.00 plus thc
n~al p~C ~, w~oh c~cr is ~eamr.
OR
If v~e a ~on~raeto~ vartici~atin~ in th~r~it ~eaounr ~vstem and }ave adequate f~nds. ¢fitck here
CI:I~CK I~ ALL APPLICABLE
USE CAT~GORY
OSingle Family tElDuplex QMuki-Family
SERVICE ONcw ~T~mporary
OC~nge ~ot Applicable
[2R~tal [~ommercial Il.Industrial
TYPE ElOv~rhead ~ot Applicable
r-lUnderground
FILL I.N THE APPROPRIATE BL3aNK WITH THE ~'UMBER~
Volts .. / Receptacles # Circuits #.
Phase
Amps Switches # trl=ures # OQ.
CHECK ~ ALL AP?LiC.~LE
VALL"E (Inclodtn~ labor and all
M,I..ITER !tLECTRICI.~i'