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OSHKOSH
ON THE WATER
.lob Address 1757 W 5TH AVE
Contractor MY ELECTRIC CORP.
CITY OF OSHKOSH No
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DICKIE L LARSEN Create Date
Category 633- ResidentiaI-Multi-FamilyAddition/Rem Plan
Type I~ Overhead
Circuits 0
Switches 0
Service
Volts
Amps
New (~ Change (~ Temp (~ N/A
Underground
Fixtures
Receptacles
110648
09/22/2004
Appliances
Use/Nature of Installation of recps and circuits.
Work
Fees: Valuation
Issued By:
$800.00 Plan Approval
$0.00
Permit Fee Paid $38.00
Date 09/22/2004
Permit Voided
Parcel Id # 0611580400
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 1512 RUGBY ST OSHKOSH WI 54902 - 6360 Telephone Number
920-231-0707
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.