HomeMy WebLinkAbout0128188-Electric
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OSHKOSH
ON THE WATER
Job Address 1545 ARBORETUM DR
CITY OF OSHKOSH
No
128188
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ASSOCIATION RIVER MILL CONDO
Create Date 11/30/2007
Contractor
APEX ELECTRICAL SOLUTIONS INC
Category 633 - Residential-Multi-Family AdditionlRe Plan
Service
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o Change 0 Temp
. N/A~
Type Q9verheaQ___~____QLJ_~<:I~_9I"QlJ_~~___._j
Volts
Circuits
Luminaires
2
Amps
Switches 2
Receptacles
Appliances
~ater Heater------------.------~.------- ----
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Use/Nature of r;ondOS 1 Build a restroom in the HALLWAY (tramway). * Note:Both restroom and utility sink room to be provided with exhaust ---- 1....
Work entilation. **check #6692
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Fees: Valuation $450.00
Issued By: ~~
Plan Approval ______$.2.:.Q.Q
Permit Fee Paid ~__~_~?-QQ
Date 12/18/2007
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D Permit Voided I
Parcelld #
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
N7926 LAKE BREEZE DR
SHERWOOD WI 54169 - 9623
Telephone Number (92Q)83Q-?15Q___
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
I Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
I continue if the inspection is not performed within two business days from the time the project is ready.
i,
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
DIVISION
DEe 1 7 2007
OF
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903.1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this vrocessed through vour account 0
JOB ADDRESS 1 b 45 Arbnl'ptvM Df',
OWNER I'')~ejl~: ti Ass,,~.A-<s ~"'C-
CONTRACTOR~ p~ G' l"'c1 5" )...3-,; v.
DATEJ2/I?>/67
_"-">':"-'f~"';' .. ~"'-"'-~;'''?"~'):'~'';"t' 't,:~V'.-r,;j" '0.<",,/ ,:'_ " .~.. -....-..,. ...- . "'~A _.... _n.._ . ~~ .~~..~.__~."..... '._____.._... _.c.~..; _~.._.. '. ~....~,. _... __~. ,.,_.;~-"_~_ ~._.
CHECK 0' ALL APPLICABLE
~~:~::;-~~__.DJ?JJllt~2l____. .JJ.MH1!bfap!ily 'd.c,' ~'i~nta;---" - ";&~~ercial o Industrial
"-" .,-- ..- -'''~'''''-'-''-", ........--.....--.._.'......__:..____...-.v.... _.......w.......... ...........~. .~._... ~.:...;..._,..;_.._~.;..;...e_' .~_.~..._.,,'~_._'_
SERVICE--ONew .....- --.i3TymporaI)'. .-. .......M. .- ......--T..y. PE. ..DO. .ve.rhea.d... .. L2!"'&:QtApplic.able
.. '" .~ _. OChange.OOot Applicable.. ._ _""'__... .. .... ___._gUn~l.~rgroulld
.' .,' '. " ~.) '; :
FILL IN THE APPROPRIA fE' BLA.NKWITH THE NUMBER
Receptacles #~
I
Circuits # 1
Volts
Phase
Amps
Switches # 2.
Fixtures # 2.
CHECK 0' ALL APPLICABLE
DRange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DA/C
o Other
DDryer
DElectric Sign
~ater Heater
DESCRIPTION OF ALL WORK BEING DONE
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'~~~~E(I~Cl~~in'~ la~~~~~~!:~'~ mate:i~JS'~~:J~~ingJi~~t fixtu;~s) $ 4 50 ~>':T'lJj";'.;!"
MASTER ELECTRICIAN~t\C...1t h..e V'J \bv I'-a.. If,t" (J 7 I ~ 7 r+
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