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OSHKOSH
ON THE WATER
Job Address 402 WYLDEWOOD DR
CITY OF OSHKOSH
No
117848
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
0 New
0 Change
0 Temp
Owner DEBRA A BERWALD Create Date 01/11/2006
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type 0 Overhead 0 Underground
Circuits --------.! Fixtures ~
Switches 3 Receptacles ------1Q
Contractor
CUMINGS ELECTRiC INC
Volts
Amps
~
Appliances
I~" ~~,
~- "r'"" ~~'" ~~,
Work
$500.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$20.00
Issued By:
Date 01/11/2006
D Permit Voided I
Parcelld # 1632004300
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 appiication 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
PO BOX 749
NEENAH
WI 54957 - 749
Telephone Number 920-231-5946
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.