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OSHKOSH
ON THE WATER
Job Address 16120NTARIOST
CITY OF OSHKOSH
No
115837
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
0 New
0 Change
0 Temp
Owner LAVERN A WEBER Create Date 08/19/2005
Category 612 - Residential-Single Family AdditionlR Plan
8N/A Type 0 Overhead 0 Underground
Circuits 0 Fixtures ~
Switches ~ Receptacles ~
Contractor
DREXLER ELECTRIC
Volts
Amps
~
Appliances
UselNature of FRI relocate 120 volt laundry outlet and microwave to kitchen.
Work
Fees: Valuation
$280.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By:
Date 08/19/2005
D Permit Voided I
Parcelld # 1210090000
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
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.