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OSHKOSH
ON THE WATER
Job Address 1155 CHRISTIAN DR
CITY OF OSHKOSH
No
123681
ELECTRIC PERMIT ..APPLICATION AND RECORD
Owner
JEFFERY J/JENNIFER L GUENTHER
Create Date 02/23/2007
Contractor
DENNIS P BRENNAN
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
120/240
o Change 0 Temp
. N/A
.Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
, Switches
Appliances
Use/Nature of SFRI Finish a porton of the basement* to include a 12' x 27' family room.
Work
.
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
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Date 03/05/2007
o Permit Voided I
Parcelld # 1250178900
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 ne ssary approvals before starting such activity.
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Agent/Owner
Address
1423 RAINBOW DR
OSHKOSH
WI 54902 - 0
Telephone Number
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.
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City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
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OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. 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 withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
If vou are a contractor participatinfr in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this processed throuf!h vou~ account D. ,
DATE
J I s- iT7
JOB ADDRESS_l f '5 S- C lhtl ~ n r}-N O{t
OWNER'
CONTRACTOR
D J:: ,.."..,.l,j'
t1 flltN"'-PrW
CHECK Ja ALL APPLICABLE
USE CATEGORY
r:;2ISingle Family DDuplex
OMulti-Family
DRental
o Commercial
DIndustrial
. SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts i l 0 / l. l( 0
l'hase I
Amps
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK ltJ ALL APPLICABLE
ORange
DFan OR Blower
OMotors
ODishwasher
o Fumace
OGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
L i r Ii 5 / (2. 'F.c "
,
BAn""'"........" fl.'l"""tJiLl- -fLfl-CIUJ'iZr)
, ' VALUE (Including labor and all materials including light ilXtures) $ ,f) 00 I () q
MASTER ELECTRICIAN ls-.>- a----
3/02