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OSHKOSH
ON THE WATER
Job Address 3920 HEMLOCK CT
CITY OF OSHKOSH
No
123357
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
PORTSIDE PROPERTIES
Create Date 01/17/2007
Contractor
TOWN & COUNTRY ELECTRIC
Category 611 - Residential-New Single Family Wirin Plan
Service
Ie New
120/240
200
Circuits
Luminaires
o Change 0 Temp
ON/A
Type 0 Overhead
. Underground
Volts
Receptacles
Amps
Switches
Appliances
Use/Nature of INSFRI WIRE NEW HOME WITH 137 TOTAL OPENINGS **debt acct
Work
Fees: Valuation
$4,500.00
Plan Approval
$0.00
Permit Fee Paid
$128.00
Issued By:
~L..J
Date 01/30/2007
o Permit Voided I
Parcel Id # 1282000800
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
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number 920-225-6507
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.
81/38/B7 18:12:23
Faith Technologies-}
192823&5B84 928-738-1515
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information a.fter bold categories must be provided.
Incomplete applications will not be processed.
Page 882
J6b -# 37((q51
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
DATE
JOB ADDRESS
OWNER
CONTRACTOR
.3q J..o Him loc.)( e..+.
Porlsid e.. Pv[)pevfi~ s
-Jf>wV1 *' &tU1ry E:/tc-h-'; t!-
CHECK !if ALL APPLICABLE
Y};E CATEGORY
~ingle Family DDuplex DMulti-Family
SERVICE~ew o Temporary
DChange DNot Applicable
DRental
DCommercial
TYPE DOverhead
~nderground
FILL IN THE APPROPRIATE BLANK WITII THE NUMBER
Volts
Phase
Amps
J '}. () I J.t.f D
I
::J.-btJ
Receptacles #
Circuits #
Switches #
Fixtures # .
CHECK !if ALL APPLICABLE
check here
If~() I~?
I
OIndustrial
DNot Applicable
ORange DDishwasher DGarbage Disposal DDryer o Water Heater
DFan OR Blower DFurnace DAlC DElectric Sign
OMotors DGas Pumps. o Other
DESCRIPTION OF ALL WORK BEING DONEJ i V~ VI t' W h/)tn~
13, +ota{()I/JeV1Jr1r-S
$ I:J-~.;j~ r:-~~.
3/02