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CITY OF OSHKOSH
No
113572
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date04/19/2005
1450 PHEASANT CREEK DR
ROBERT/ANNETTE RABE
ContractorHOMEOWNERCategory612 - Residential-Single Family Addition/RemodelPlan
ServiceTypeOverheadUnderground
NewChangeTempN/A
Volts
Circuits0Fixtures0
Switches0
Amps0Receptacles0
Appliances
Use/Nature of SFR/ Renew permit # 102016
Work
Fees: Valuation$1,000.00Plan Approval$0.00Permit Fee Paid$50.00
Issued By:Date4/19/2005
Parcel Id #1343510000
Permit Voided
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
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
Address7452Telephone Number
-
OSHKOSHWI54904
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.