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o
OSHKOSH
ON THE WATER
Job Address 711 BAY SHORE DR
Contractor SUBURBAN ELECTRICAL ENGINEERINI
CITY OF OSHKOSH
No
120763
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner HEALTH CARE REIT INC Create Date 07/21/2006
Category 643 - Commercial-Addition/Remodels Plan ,
. N/A Type o Overhead o Underground
Circuits 52 Luminaires 131
Switches 126 Receptacles 151
Service
o New
120/208
Volts
Amps
200
Appliances
Use/Nature of ~BRF/ Addition to CBRF, 17 Bedroom, 24 Residents to existing 20 Bed/30 Resident CBRF.
Work
Plan Approval _-1Q.00
Permit Fee Paid
$450.00
Issued By:
Date 07/26/2006
o Permit ~oided I
Parcel Id # 0805860100
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
Agent/Owner
Address
709 HICKORY FARM LN
APPLETON WI 54914 - 0
Telephone Number 920-739-5156
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.