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OSHKOSH
ON THE WATER
Job Address 1314 OTTER AVE
Contractor DREXLER ELECTRIC
CITY OF OSHKOSH
No
126901
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner TARA J WICK Create Date 09/21/2007
Category 612 - Residential-Single Family Addition/R Plan
Service
R5 New
o Change 0 Temp
. N/A
Volts
Circuits
Type 0 Overhead
2
o Undergroun~_______~J
Luminaires
Receptacles
2
Amps
20
Switches
-.-----------------1
I
I
-- --------------~---l
!
i
Appliances
UsefNature of FR /INSTALL OUTLETS AND CIRCUITS "check #4685
Work
,
.__________._.._.________~___._~_.________.___~__..__~___._. _.-1
Fees: valu5-rnS-$480:..QQ
Issued By:
Plan Approval __ $0.00
Permit Fee Paid $25.00
---
Date 09/21/2007
o Permit Voi~~
Parcelld # 0205560000
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
490 COUNTY ROAD FF
PICKETT
WI 54964 - 9513
Telephone Number (920) 589-6700
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 ofInspection Services
P.O. Box 1130
Oshkosh,WI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
.
OJHKOJH
ON THE' WATER
SEP 2 1 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
ELECTRIOJAtCf!mRMl'FfAPPft~A TION
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 without permit(s) will result in fees being doubled Or $100.00 plus the
normal permit fee, which ever is greater~
OR
I ou are a contractor artici atin in the Permit Fee Account Svstem and have ade uate unds check here
if VOll want this vrocessed throllrzh ~ollr account 0
JOB ADDRESS
DATE?~--zj 7
/3/ Y 6 6t"-c:'< ..s/~
OWNER qlftU/l Wt2CC
CONTRACTOR 0/L.15)cLC.E1..
~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex
DMulti-Family
DRental
o Commercial
o Industrial
SERVICE ONew
OChange
OTemporary
,PiNot Applicable
TYPE OOverhead
DUnderground
~Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
1120
~
20
Receptacles # 0--.
Circuits # ~
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFumace
DGas Pumps
OGarbage Disposal
ONC
DOther
o Dryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
Z::d'.s~ &ul-~r.J
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(~"~/JLS
VALUE (Including labor and all materials including light fixtures) $ Y go~ ozJ
MASTER ELECTRICIAN ~ 0 O~
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3/02