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OSHKOSH
ON THE WATER
Job Address 1817 SIMPSON ST
CITY OF OSHKOSH
No
119540
ELECTRIC PERMIT. APPLICATION AND RECORD
Service
0 New
0 Change
0 Temp
OWner KATHERINE J ROESKE Create Date 05/1612006
Category 612 - Residential-Single Family AdditioniR Plan
8N/A Type 0 Overhead 0 Underground
Circuits -----1 Luminaires 1
Switches 2 Receptacles 1
Contractor
BELL ELECTRIC LLC
Volts
Amps
Appliances
Use/Nature of SFR\ Add GFCI ckl., exhaust fan, light fixture.
Work I
Fees: Valuation
$525.00
Plan Approval
$0.00
Permit Fee Paid
$26.00
Issued By:
,41/f
Date 05/16/2006
0 PennitVoided I
Parcelld # 1407440000
In the 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 penni! application within an easement, the City strongly urges the pennit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
1303 MIDWAY RD
Agent/OWner
MENASHA
WI 54952 - 0
Telephone Number 920-886-6589 920-733-81
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.