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0131964-Electric (new service)
CITY OF OSHKOSH No 131964 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2315 HICKORY LN Owne'r CHARLES R/MARY L DEMUNCK Create Date 07!31/2008 Contractor DRUCKS PLG & HTG CO., INC Category 610 -Residential-New Single Family Servi Pian Service New ~ Change ~ Temp ~ N/A ~ Type ~ Overhead ~ Underground Volts 120/240 Circuits Luminaires Amps 200 Switches Receptacles I Appliances i I I i _ I Use/Nature of FR\ New 200 amp UG service at pole building Work i Fees: Valuation $420.00 Plan Approval ~ $0.00 Permit Fee Paid $25.00 Issued By: ~ Date 07/31/2008 Permit Voided ~ Parcel Id # 1518678600 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkos as no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this pe ap cation within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to se re a ary a p o before starting such activity. Signature Date d r- Agent/Owner Address PO BOX 355 MENASHA WI 54952 - 355 Telephone Number (920) 722-2642 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 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 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 without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR if you want this Drocessed through your account ^ JOB ADDRESS ~~ ~ (2 / 2 ~~ ~ ~i ~v~f'SS CHECK ~ ALL APPLICABLE USE CATEGORY ^Single Family ^Duplex ^Multi-Family . ^Rental /DATE ~'° ~ t ''` S~jQO ¢C 1a 55 T~i2 ~+'~~~ ^Commercial ^Industrial O.lHK01H ON THE WATER SERVICE New ^Temporary TYPE ^Overhead ^Change ^Not Applicable ~iJnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER ~~ Volts f ~- ~ / L ~ p Receptacles # Circuits #_ Phase ~ Amps a..,ci~ Switches # ~I Fixtures # CHECK B ALL APPLICABLE ^Range ^Dishwasher ^Garbage Disposal OFan OR Blower ^Furnace ^ALC ^Motors ^Gas Pumps ^Other ^Not Applicable ^Dryer ^Water Heater ^Electric Sign I ~~^^p DESCRIPTION OF ALL WORK BEING DONE '~ ST ld -~79~ s-7~t1~ 1~ VALUE (Including labor and all MASTER ELECTRICIAN fixtures) $ ~ ~ © ~ 3/02