HomeMy WebLinkAbout0117318 E
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OSHKOSH
ON THE WATER
Job Address 522 JACKSON ST
CITY OF OSHKOSH
No
117318
ELECTRIC PERMIT -APPLICATION AND RECORD
Service
0 New
0 Change
0 Temp
Owner DAIN D HENDRICKSON Create Date 1111612005
Category 612 - Residential-Single Family AddltionlR Plan
8NIA Type 0 Overhead 0 Underground
Circuits 0 Fixtures ~
Switches 0 Receptacles ~
Contractor
SCHAFER ELECTRIC INC
Volts
Amps
0
Appliances
,-- " ]" ,.., .,., ~.,
WoO
$200.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Fees: Valuation
Issued By:
t:frk"-
Date, 1111612005
D Permit Voided I
Parcelld # 0703280000
In th~ 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 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
Address
6364 COUNTY ROAD A
Agent/OWner
NEENAH
WI 54956 - 0
Telephone Number 920-725-2031
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.