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OSHKOSH
ON THE WATER
Job Address 911 WISCONSIN ST
CITY OF OSHKOSH
No
115762
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
0 New
0 Change
0 Temp
Owner DELTA CHI FRAT INC Create Date 07/15/2005
Category 633 - Residential-Multi-Family Additlon/Re Plan
8N/A Type 0 Overhead 0 Underground
Circuits 2 Fixtures ~
Switches ----1 Receptacles ----1
Contractor
CSI ELECTRIC
Volts
Amps
0
Appliances
UselNature of ROOMING HOUSE I Wiring for Remodel bathroom on 1st and 2nd floor as per plans. NO STRUCTURAL CHANGES
Work
Fees: Valuation
$1,200.00
Plan Approval
$0.00
Permit Fee Paid
$66.00
Issued By:
Date 08115/2005
0 Permit Voided I
Parcelld # 0502070000
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
4033 HWY 57
DE PERE
WI 54115 - 0
Telephone Number 920-336-8463
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.