HomeMy WebLinkAbout0124861-Electric
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OSHKOSH
ON THE WATER
Job Address 1643 MARICOPA DR
CITY OF OSHKOSH
No
124861
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
IFTIKHAR A MALlK/HUMA P AHMAD
Create Date 05/04/2007
Contractor
A & SELECTRIC LLC
Category 612 - Residential-Single Family Addition/R Plan
Service
o New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
UselNature of SFRllnstall partition walls to create Family Room, Storage Room and Bathroom. * HVAC by C&S of Freedom?
Work
Fees: Valuati
$1,750.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 05/18/2007
o Permit Voided I
Parcelld # 1318040000
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
1725 ROOSEVELT ST
LITTLE CHUTE WI 54140 - 1377
Telephone Number (920) 470-1369
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.
~
OJI--KOJH
ON THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 5 - / 3 A t:1 7
JOB ADDRESS
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OWNER
CONTRACTOR
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CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE
NEW
CHANGE
TEMPORARY
NOT APPLICABLE
TYPE
OVERHEAD
UNDERGROUND
NOT APPLICABLE
NO. OF FIXTURES
SWITCHES
RECEPTACLES
CIRCUITS
AMPS
VOLTS
/
PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER FAN OR BLOWER
FURNACE
A/C_
ELECTRIC SIGN MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE
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· Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
,rALUE (Including labor and all materials including light fixtures) $
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MASTER ELECTRICIAN
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