HomeMy WebLinkAbout0157757-Electric � CITY OF OSHKOSH No �s7�s�
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1601 MARICOPA DR Owner GREGORY/SHARON M MALKOWSKY Create Date 07/17/2013
Contractor JP ELECTRIC LLC Category 612-Residential-Single Family Addition/R Pian
Inspector Adam Krause
Service New 0 Change � Temp � N/A Type � Overhead 0 Underground �
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances � .
Use/Nature of 'SFR/ Remodeling the bathroom to include: Moving a non-load bearing wall,adding a 1/2 wall for a walk in shower. New drywall, �
Work �looring,tile. Existing vent fan. All construction shall comply with State and local codes. I
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By:%�, Date 09/16/2013
❑ Permit Voided' Parcel Id# 1319410000
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 cure any n ssa a provals before starting such activity.
Signature Date �y�-/6—/�
AgenUOwner
Address 1615 OREGON ST OSHKOSH WI 54902 -6921 Telephone Number (920)420-9461
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.
c�cy or osnkosn
Divisian of Inspection Services �
P.U. Box I 130 �
Oshkosh,W I 54903-I I 30
Phone(420)236-SOSO
F�ax (9?0)236-508� IJ
Il
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ELECTRICAL PERMIT APPLICATION
All informati�n after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall. Roorn 2Q5 or mailed to Inspection Services, PO BoX 1 1?8,
Oshkosh WI 54903-1 1?.8. Commencing work without permit(s1 will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
UR
!1 vou ure u conlruclor participuting in �h� Permr� !-et lecvrrn� 5�►�tE�ni une� huti�c udeyuulE tirnds check hEre
rl v�u wan� this processed lhr��ugh ti�our uccnrrn� ❑ �
DATE � "/6 '.��! 3
JOB ADDRESS f(. � � /I�I� r �c� �
OWNER
CONTRACTOR U � ��p����� I l G
CHECK�ALL APPLICABLE
USE CATECORY
❑Single Family ❑Duplex ❑Multi-Famil� ❑Rental �C'ommercial Olndustrial
SERVICE ONew ❑Temporan TYPE ❑Overhead ❑Not Applicable
❑Change ONot Applicable ❑Underground
FILL[N THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# �_ Circuits#
Phase
Amps Switches# Fixtures#
CHECK �ALL APPLICABLE
❑Range ❑Disn��asher �Garbage Disposal ❑Dryer �Water Heater
❑Fan OR Blower ❑Furnace ❑AiC ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE_ ��.�5► fc�nrY+ *`e.�o �(
ac
VALUE(I�cluding labor and all materials inclu ' g light fi tures)$ jQOd-
MASTER ELECTRICIAN �
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