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OSHKOSH
ON THE WATER
Job Address 1551 DELAWARE ST
Contractor HOEHNE ELECTRIC
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
126601
Owner OSH AREA SCHL DIST SOUTH PARK
Create Date 09/05/2007
Category 643 - Commercial-Addition/Remodels
Plan
o Change 0 Temp
. N/A
Type QOverhead
~_~nderground__n~__~
Service
o New
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
I
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U"INat.",.t ISOUfHPARK SCHOOL I MOVE 6 LIGHTS IN sTATRWJIYS-.oaebi-"d---- .
Work
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Fees: Valuation $1,200.00
Issued BY:&:XJ ~_n_
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 09/05/2007
D_Permit Void~
Parcelld # 1301920000
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
N1798 JUNCTION LN
BERLIN
WI 54923 - 8923
Telephone Number (920t 379-8200
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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Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
CURTIS HOEHNE
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EllECTRRCAl. PE.RMBT APPiLJC.~TBON
All information after bold categories must be provided.
Incomplete applications will not be processed.
e AppJication(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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
[(VOl-/. are a contractor participatitIf! in rhe Permit Fee Account Svs{em and have adequate (rinds. check here
if vou wall t this processed throu!!/r VOIJT aCCOUJ1t 0
OWNER ~
CONTRACTOR
DA TEtJ ,-~ ~ 0.1
'"
CHECK E?I ALL APPL][CABL~
USE CATEGORY
DSingle Family
ODuplex
OMulti-Family
o Rental
~ommercial o Industrial
DOverhead ' DNat Appli.cable
DUnderground
SERVICE ONew
o Change
OTernporary
ONot Applicable
TYlPE
FILL J!N THE APPROPRIATE BLANK \IVlTH THE Nl..JlW1BIE.R
I
Receptacles #-
Circ'U!nts #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK ItI ALL APPLICABLE
ORange o Dishwasher DGarbage Disposal
DFan OR Blower OFurnace DAle
OMotors OGas Pumps OOther
DESCRIPTION OF ALL WORK BEING DONE-.rll\oue..
DDryer
OElectric Sign
OWater I-Ieater
" -
[0 --- h i 5~5 \ V"\ sf M~W~5
VALUE (Including laho~t<rials induding light fixtnre,) $ ~.~ . ~.;J
MASTER ELECTRIC ~ ~~