HomeMy WebLinkAbout0158396-Electric � CITY OF OSHKOSH No 158396
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1451 PHEASANT CREEK DR Owner HUMA MOHSIN/MOHSIN M SAEED Create Date 09/16/2013
Contractor D.KAL ELECTRIC LLC Category 612-Residential-Single FamilyAddition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground J
Volts Circuits 2 Luminaires 5
Amps Switches 5 Receptacles 10
Appliances I�—
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Use/Nature of SFR/Wire bedroom addition ""check#3765
Work
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Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By:�� Date 10/23/2013
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� Permit Voided I Parcel Id# 1343250000
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 re any necessary ap va b ore starting such activity.
Signature �� � „ .�f Date lQ•-z�'f �
AgenUOwner
Address 4403 RUSHFORD AVE. OMRO WI 54963 -9606 Telephone Number (920)685-0775
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.
City of Osl�kosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fa�c (920)236-5084 O�u�(O�u :
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ON THF WATFR -
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
11'vou are a contractor narticinatin� in the Permit Fee Account Svstem and have adequate funds check here �
ifvou want ihis Dr�ocessed throu�h vour account ❑
DATE ���'��--I��j
JOB ADDRESS �y��i��s�pG� ]� `�'�I�
OWNER
CONTRACTOR_ � D:I��� �j�c�r'i C
CHECK L�1 ALL APPLICABLE
USE CATEGORY
�dSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ,�Not Applicable :
❑Change �Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#� Circuits# �
Phase
Amps Switches# 5 Fixtures#_ ,5
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑GarbageDisposal ❑Dryer ❑WaterHeater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other :
DESCRIPTION OF ALL WORK BEING DONE_��� '�U��� �c'a(h�'��S
VALUE(Including labor and all materials including light fixtures) $ _/���• O�
MASTER ELECTRICIAN 1�Q h /c q���S Q, ka � ���r.�1rr��'
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