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OSHKOSH
ON THE WATER
Job Address 1595 DEERFIELD DR
Contractor SCHAFER ELECTRIC INC
CITY OF OSHKOSH
No
125912
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
o New
o Change 0 Temp
Owner JOHN AlKATHY G HUELLER Create Date 07/13/2007
Category 612 - Residential-Single Family Addition/R Plan
. N/A Type o Overhead o Underground
Circuits 3 Luminaires 14
Switches 4 Receptacles 3
Volts
Amps
Appliances Dishwasher
Use/Nature of SFRI Kitchen Remodel> to include new cabinets and countertops removing the soffits and replacing the ceiling. No structural work.
Work
Fees: Valuation
$1,970.00
tJ.c:nt L7
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
Date 07/23/2007
o Permit Voided I
Parcel Id # 1320040000
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
6364 COUNTY ROAD A
NEENAH
WI 54956 - 9717
Telephone Number (920) 725-2031
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 ~30
Phone'(920) 236-5050
Fax (920) 236-5084
~
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 t~ 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
nonnal permit fee. which ever is greater.
OR
Ifvou are a contractor lJartici"oati1ff! in the Permit Fee Account Svstem and have adecuate funds. check here
ifvou want this lJrocessea throuf!h vour account 0 '
DATE 7 ~ J..J- tJ7
JOBADDRESS /S'1S ~
OWNER. H..u~/~
CONTRACTOR ~+ tft..~J ~.
CHECK E2'I ALL APPUCABLE
, !J'~ CATEGORY
)2ISingle Family ODuplex DMulti-Family
,'SERVICE. ONew DTempormy
DChange ~ot Applicable
ORental
o Commercial
DIndustrial
TYPE DOverhead ~ot Applicable
DUnderground
, FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:rhase
'Amps
, Circuits # 3.
I
Fixtures # 1'1"
CHECK E2'I ALL APPLICABLE
ORange
DFan OR Blower
OMotors
;z{Dishwasher
OFurnace
DGas Pumps
OGarbage Disposal
ONe
DOther
, ,
ODIyer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
t;/J~ R~
.' VALUE (Including labor and all mater-ials including light IlXtures) $ /97/) , 1#
MAsTERELEClRICIAN r9.d; Jd~
~.,u ~ 77, I'D 0\ 1 }J
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3/02