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OSHKOSH
ON THE WATER
Job Address 1643 NEBRASKA ST
CITY OF OSHKOSH
No
119549
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DANIEL JIDEBRA A PERRY
Create Date 0511712006
Contractor
HOMEOWNER
Category 612 - Residential-Single Family AdditionlR
Plan
Service
0 New
0 Change
0 Temp
. NIA
Type
0 Overhead
0 Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
UselNature of FR\ Wire garage (50 amp subpanel d.b. cable) & hot tub.
Work
Fees: Valuation
$300.00
Plan Approval
$0.00
Penmit Fee Paid
$20.00 '
Issued By:
()1L"
Date 511712006
n Permit Voided I
Parcelld # 0305740000
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the periormance of this work I agree to periorm 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 periorm the work
described in this penmit 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
Agent/Owner
Address
OSHKOSH
WI 5490 - 6917
Telephone Number 233-1293
To schedule inspections please call the Inspection Request line at 236-5128 noting t,he 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.