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CITY OF OSHKOSH No 131878
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 665 EVANS ST Owner JOSEPH V/PAMELA R GEMIN Create Date 07/18/2008
Contractor SLIM'S ELECTRIC INC Category 612 -Residential-Single Family Addition/R Plan
Service New 0 Change 0 Temp ~ N/A '~ Type ~ Overhead ~ Underground
Volts ircuits Luminaires
Amps witches Receptacles
Appliances
Use/Nature of ~SFR/ Gut & Remodel 2nd floor
Work
Fees: Valuation $575.00 Plan Approval ~, $0.00
Issued By: ~
Voided
Permit Fee Paid $25.00
Date 07/28/2008
Parcel Id # 1102570000
In the performance of this work I agree to perform all work purs ant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easemen 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
Address 2608 OAKWOOD
OSHKOSH WI 54904 - 8466 Telephone Number (920) 426-5249
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.
Division of Inspecti
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-11
Fax (920) 236-5089
Phone (920) 236-5050
services
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 wit!~hout permit(s) will result in fees
being doubled or $100.00 plus the normal permit fee, which ever
is greater.
If you are a contractor participating in the Permit Fee Account System
and have adequate funds, tVpeYES if you want this processed through
!your account
07/25/08
DATE
JOB ADDRESS 665 Evans St.
OWNER
I
CONTRACTOR SLIM'S ELECTRIC INC.
CHECK ALL APPLICABLE
USE CATEGORY
XSingle Family
C Commercial
C Duplex
C Industria:
SERVICE ~ New r Ten
Change A
I
FILL IN THE APPROPRIATE E
Volts 1
C Multi-Family C Rental
r
iporary TAE ~ Overhead Not
Applicable
r Underground
WITH THE NUl~ER
~s
# _ ; Circuits # _
Phase ~~
Amps 1
# ~~ Fixtures #
CHECK ALL APPLICABLE
~ Range ~ Dishwasher
Garbage r r Water
>isnosal ~'~ Heater
Fan OR r Furnace ~ p/C ~ Electric
Blower Sign
r
Motors Pumps s Other ~ _
DESCRIPTION OF ALL WORK BEING DONE
REMODEL BATHROOM
VALUE (Including labs
$ 575.00
MASTER ELECTRICIAN
light fixtures)