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OSHKOSH
ON THE WATER
Job Address 1837 VINLAND ST
CITY OF OSHKOSH
No
120569
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DUANE IIHELEN MOORE
Create Date 07/12/2006
Contractor
JACK'S ELECTRIC INC
Category 634 - Residential-Service Change
Service
b New
120-240
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
200
Switches
Appliances
Use/Nature of BFR / CHANGE OVERHEAD SERVICE FROM 100 TO 200 AMPS SINGLE PHASE
Work
Fees: Valuation
Issued By: S X\\W
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Date 07/17/2006
D Permit Voided I
Parcelld # 1217900000
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 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
Agent/Owner
Address
117 N DOUGLAS ST
APPLETON WI 54914 - 0
Telephone Number (920) 733-1591
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.