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CITY OF OSHKOSH
114928
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date05/24/2005
670 FREDERICK STGALLERY HOMES LLC
ContractorJK ELECTRICCategory611 - Residential-New Single Family WiringPlan
ServiceTypeOverheadUnderground
NewChangeTempN/A
Volts120/240Circuits12Fixtures10
Amps200Switches30Receptacles50
RANGE, DISHWASHER, FURNACE, GARBAGE DISPOSAL, A/C, DRYER
Appliances
Use/Nature of NSFR/ New 2 story home with a 12' x 12' patio. There is an existing detached 2 car garage.
Work
Plan Approval$0.00
Fees: Valuation$3,000.00Permit Fee Paid$70.00
Issued By:Date06/28/2005
Permit Voided
Parcel Id #0704410000
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
E9102 MANSKE RDNEW LONDONWI549610920-982-7848
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.