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OSHKOSH
ON THE WATER
Job Address 3000 POBEREZNY RD
CITY OF OSHKOSH
No
125762
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
EAA AVIATION FOUNDATION INC
Create Date 07/12/2007
Contractor
TOWN & COUNTRY ELECTRIC
Category 657 - MISC.- OTHER THAN BUILDINGS
Plan
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of EAA Convention wiring. Any questions, call Steve Jochman @ 470-0491. Job #519001-7035. --DEBIT ACCT--.
Work
Fees: Valuation
$4,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$111.00
Issued By:
Date 07/12/2007
o Permit Voided I
Parcel Id # 1323350000
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
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.
87/12/B7 18:23:22
Faith Technoloyies-)
19282365884 928-738-1515
Paye 882
.. "."." ._-~.__...._." .....""..,\.......
..EI..E:CTRICAL PERMIT APPLICATION.
.... ..AIl infonnation after bol<t .9ategories. mu~ b(; proVided. '.
Incomplete applicati~w~!l not~~ p~~s~. .
, , " .
.... --. ," -'- ..,..',....
· . Application(s) and f~e(s)Cifube brouglltto City H~~o~tn20S C>r ~aileCltoJnspectiot1Servfces. POaoxl128,
Osbkosb. WI S4903~1128.Cornm~ncing work without peimit(s) Will resUlt in fees heingdoubledor $IOO.~O plusjhe
nonnal permit fee, which ever is 'greater. . . .
OR
I ou are a c roc tor ar' . alin in the P rmi
ifvou want this Drocessed throueh vour account
DATE
7-!J.. -tJ7
JOB ADDRESS
OWNER
. CONTRACTOR
JIM ~ ' fJo h I'1z /l1L1
~ A A CtJVI,) t'v,-HtJv1
fdwVl ..y b>Ul1ftj ~/<e hrJ'(L
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family
SERVICE DNew
DChange
ODuplex
OMulti-Family
o Rental
o Commercial DIndustrial
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circ:uits .#
Switches #
Fixtures #
CHECKIa ALL APPLICABLE
ORange
OFan OR Blower
OMotQts
DDishwasher
OFurnace .
OGas Pumps
DGarbage Disposal
DAle
DOther
DDryer DWater Heater
CJEl~tric Sigfi
DESCRIPTION OF ALL WORK BElNG DONE
-- l.f
os.
1{)-f) 4
1lt1erV1~ ~ fA !
VALUE (tncluding labor and alhnaterials inCluding lightfirtures) $ ii, ~ tJ ~ r' t(J .. . rtelt .UI. o/X
MASTER ELECTRICIAN ~J4,".s;~ 91/ dW
3/02