HomeMy WebLinkAbout0116381-Electric (service change)
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OSHKOSH
ON THE WATER
Job Addre5s 234 CHURCH AVE
CITY OF OSHKOSH
No
116381
ELECTRIC PERMIT - APPLICATION AND RECORD
. Change
0 Temp
Owner WINN CTY HISTORICAL & ARCH SOCIETY Create Date 09/21/2005
Category 644 - Commercial-Service Change Plan
0 N/A Type 0 Overhead 0 Underground
Circuits ----'! Fixture5 ----'!
Switche5 ----'! Receptacle5 ----'!
Contractor
VAN ERT ELECTRIC CO INC
Service 0 New
Volts 120/208
Amp5 ~
Appliance5
U5e/Nature of OMI Hlst. Soc. Museum 5ervice change
Work
$4,500.00
Plan Approval
$0.00
Permit Fee Paid
$114.00
Fees: Valuation
Is5ued By:
/!fjr'
Date 09/21/2005
0 Permit Voided ¡
Parcelld # 0703390000
In the performance of this work I agree to perform all work pursuant to rules governing the de5cribed 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 thi5 permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to 5ecure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Addres5
2000 PROGRESS WAY
KAUKUANA
WI 54130 -0
Telephone Number 920-766-3888
To 5chedule inspections please cali 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.
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