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OSHKOSH
ON THE WATER
Job Address 1728 CHESTNUT ST
CITY OF OSHKOSH
No
123896
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CLAIR R MARTIN Create Date 03/23/2007
Contractor SECKAR ELECTRIC CO INC
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change 0 Temp
. NIA
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of SFR 1 REPAIR FIRE DAMAGE WIRING AND HARD WIRE SMOKE DETECTOR **debt acct
Work
Fees: Valuation $1,500.00
Issued By: ~ W
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 03/23/2007
o Permit Voided I
Parcelld # 1512270000
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
5920 COURTNEY PLUMMER RD
WINNECONNE WI 54986 - 9728
Telephone Number 920-582-4909
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
City of Oshkosh
Division of Inspection 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
nonnal pennit fee, which ever is greater.
OR
If you are a contractor lJarticilJatin!! in the Permit Fee Account System and have adeouate funds. check here
ifvou want this lJrocessed throu!!h vou~ account D. .
17~6
JOB ADDRESsflG,f? ULS.-hw l- .
OWNER" r./a.l 'f MO/('t~
.. CO~CTORSE'"Lk~
DATE .f1Prf2CJrI ""2-2..! W c) 7
CHECK ~ ALL APPUCABLE
USE CATEGORY
~ingle Family
."SERVICE DNew
DChange
DDuplex
DMulti-Family
ORental
DCommercial
OIndustrial
DTemporary
~ot Applicable
TYPE OOverhead ~t Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUl\mER
. Volts
:phase
~mps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
OFan OR Blower OFumace ONC
OMotors OGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONEJ?J:-r'f\ rfC 11 R €
/'rt:> b i-litt2: Q . U t~. t3:. &1\1I QCtbttn;~Crl16f:":' .
DDryer DWater Heater
DElectric Sign
~MAG€" VIle INt;.
. VALlIE (Including labor and aU f,eriab including 6gb' firlares) $
MASTER ELECTRICIAN C ld---c f~i.,Lr.
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