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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112748
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
1285 PHEASANT CREEK DR
Owner
DANIEL J/DEBORA GOERTZEN
Create Date 01/05/2005
Contractor
ZIMMER ELECTRIC LLC
Category 612 - Residential-Single Family Addition/Rei
Plan
Service 10 New
Volts 120/240
Amps 0
Circuits
Type
0
10 Overhead
0 Underground
0 Change
0 Temp
. N/A
Fixtures
0
Switches
0
Receptacles
0
Appliances
Use/Nature of SFR/ Wiring for Finsihing a portion of the basement to include an office, 1/2 bath and living area.
Work
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$66.00
Issued By:
Date 02/22/2005
U Permit Voided I
Parcelld # 1342503300
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
400 ESCOTT ST
OMRO
WI 54963 - 0
Telephone Number
920-685-2387
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.