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CITY OF OSHKOSH
112404
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date01/25/2005
1926 MICHIGAN STMICHAEL CZLAPINSKI
ContractorHOEHNE ELECTRICCategory634 - Residential-Service ChangePlan
ServiceTypeOverheadUnderground
NewChangeTempN/A
Volts120/240Circuits0Fixtures0
Amps200Switches0Receptacles0
Appliances
Use/Nature of SFR/ Service change 100 to 200 , and wiring for small room addition
Work
Plan Approval$0.00
Fees: Valuation$1,600.00Permit Fee Paid$66.00
Issued By:Date01/25/2005
Permit Voided
Parcel Id #1409820000
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
W599 STATE RD 21BERLINWI549230800-603-7242
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.
Electric Permit Work Card
Job Address 1926 MICHIGAN ST Permit Number 112404 Create Date 01/25/2005
Owner MICHAEL CZLAPINSKI Contractor HOEHNE ELECTRIC
Category 634 - Residential- Service Change
Service 0 New • Change Q Temp 0 N/A Type • Overhead 0 Underground 0 N/A
Volts 120/240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $66.00 ❑ Value $1,600.00
Appliances
Use /Nature SFR/ Service change 100 to 200 , and wiring for small room addition
of Work
Inspections:
Date 01/26/2005 Type Rough In Inspector Jon Fischer approved
Request Line - addition
Date/Time requested: 01/26/2005 07:00 AM Notice Type: _ Phone Number: 920 - 379 -8200
Access:
Always open in back.
Ready Date/Time: 01/26/2005 07:00 AM Requested by: HOEHNE ELECTRIC -Curt
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 03/30/2005 Type Service Inspector Kevin Benner
approved
REQUEST LINE / READY WEDNESDAY AROUND 11:30 AM
Called WPS 3/30/05, Mailed 4/4/05
Date/Time requested: 03/28/2005 02:14 PM Notice Type: _ Phone Number: KURT 379 -8200
Access:
Ready Date/Time: 03/30/2005 11:30 AM Requested by: HOEHNE ELECTRIC
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid