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OSHKOSH
ON THE WATER
Job Address 3237 BELLFIELD DR
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
119583
Service
0 New
0 Change
0 Temp
Owner MARTY J/ANN M W ROBINSON Create Date 05/17/2006
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type 0 Overhead 0 Underground
Circuits 3 Luminaires 5
Switches 4 Receptacles 15
Contractor
ELECTRICAL CONTRACTING SPECIALI,
Volts
Amps
0
Appliances
Use/Nature of SFRI Finishing the basement to include a rec, room, finished walk in cioset, project rocm/ office and a full bathroom.
Work
Fees: Valuation
$925.00
Plan Approvat
$0.00
Permit Fee Paid
$50.00
Issued By:
q¡y
Date 05/18/2006
0 Permit Voided i
Parcelld # 1381530000
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 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
AgenUOwner
Address
PO BOX 42
BERLIN
WI 54923 - 0
Telephone Number 920-428-7000
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.