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CITY OF OSHKOSH
110229
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date08/30/2004
108 W NEW YORK AVEOSH AREA SCHL DIST MERRILL
ContractorFIDELITY ELECTRIC COMPANYCategory643 - Commercial-Addition/RemodelsPlan
ServiceTypeOverheadUnderground
NewChangeTempN/A
VoltsCircuits3Fixtures3
Amps20Switches3Receptacles10
Appliances
Use/Nature of MERRILL SCHOOL/ Adding 3 office cubes
Work
Plan Approval$0.00
Fees: Valuation$800.00Permit Fee Paid$38.00
Issued By:Date08/31/2004
Permit Voided
Parcel Id #1500680000
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.
SignatureDate
Agent/Owner
332 W 15TH AVEOshkoshWI549026516920-379-6119
Address-Telephone Number
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.