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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
117530
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
1930 WHITE SWAN DR
Owner DENNIS L WUSSOW Create Date 0911412005
Category 612 - Residential-Single Family AddltlonlR Plan
. NIA Type 0 Overhead 0 Underground
Circuits ~ Fixtures -.-J1
Switches -.-J1 Receptacles ~
Contractor
SCHAFER ELECTRIC INC
Service 0 New 0 Change 0 Temp
Volts
Amps ~
Appliances
UselNature of ßFRI Adding a 16' x 22' Master bedroom addition with full bathroom.
Work
Fees: Valuation $1,500.00 Plan Approval $0.00
Issued By: -Yo ~0J1¥~
0 Permit Voided I
Permit Fee Paid
$66.00
Date~
Parcelld II 1523600000
In the performance of this work I agree to perform all work pursuant to rules 90verning 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
AgenUOwner
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.