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CITY OF OSHKOSH
113307
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date04/06/2005
3575 N MAIN STTREMBLY ENTERPRISES LLC
ContractorNORTHLAND ELECTRICAL SERVICES LLCCategory653 - Industrial-Addition/RemodelsPlan
ServiceTypeOverheadUnderground
NewChangeTempN/A
VoltsCircuits0Fixtures30
Amps0Switches6Receptacles30
Appliances
Use/Nature of IND/ Electrical work associated with remodeling
Work
Plan Approval$0.00
Fees: Valuation$9,800.00Permit Fee Paid$194.00
Issued By:Date04/06/2005
Permit Voided
Parcel Id #1519605300
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
1100 Orville DrNew LondonWI549610920-531-1197
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.