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OSHKOSH
ON THE WATER
Job Address 2471 2475 PATRIOT LN
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
115501
Service
0 New
0 Change
0 Temp
OWner CHARLES H/DIANE LARSEN Create Date 07/27/2005
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type 0 Overhead 0 Underground
Circuits ~ Fixtures 4
Switches ~ Receptacles 15
Contractor
DREXLER ELECTRIC
Volts
120
Amps
0
Appliances
Use/Nature of UPLEXI CONDO Remodeling the basement. (Late Permit)
Work
$800.00
Plan Approval
$0.00
Pennit Fee Paid
$38.00
Fees: Valuation
Issued By:
Date 08/01/2005
0 Pennit Voided I
Parcelld # 1621640201
In the performance of this work I agree to perform all work pursuant to rules goveming 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 penni! 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
490 COUNTY ROAD FF
PICKETT
WI 54964 - 0
Telephone Number 920-589-6700
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.