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0100557 E
OSHKOSH ON THE WATER Job Address Contractor Service Volts 2471 NEWPORT CT HOEHNE ELECTRIC [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner KENNETH A/DAWN FOSTER Category 612 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 0 Switches 0 No 100557 Create Date 03/27/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/Remodel kitchen. Work Fees: Valuation Issued By: $800.00 Plan Approval $0.00 Permit Fee Paid $35.00 Date 04/01/2003 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 813 E RIVER DR OMRO WI 54963 - 0 Telephone Number 920-685-0199 ELECTRICAL PERMIT APPLICATION .All inform~on afar bold cat~=gories mast b= provided. Incomplete applic~tiom will ~ot b= processed. ©/HKO. fH ON T[4F ~tATE~ · A, PPlica~on(s) and fee(s) can be brought to City Hall, Room 205 or mailed Io Inspection Services, PO Box 1125, Oshkosh WI '54903-1128. Commencing work without pmmait(s) will r?ult in f~'.s being doubled or 5100.00 plus the fion~al permit fee. which ever is greater. OR I~yo~ are a contractor ~pq. rticipating in the Permit F~e Account System and kave adequate ~Cu'nd$, chgck h, ere if FOp wattt tltis prqcessed t&rou.£1t ypur.acco.~n.t [] 'i ClCommcn;ial ClIndustrial i-lOved'head ClNot Applicable CIUnc~ground Ciroiits # Fix~ res #. ODryer ElWaler Hcatc~ l~leetric Sign ci~CK ~i A, LL APPLICABLE EicATEGORY', ingi~ Family VIDuplex CIMulti-Family i2Re~aal SERVICE [~New EIT~mporary TYPE · ~ ClChange ClNot Applicable ~ IN THE APPROPRIATE BLANK wn~ ~ NIJMBER Volt~ . ,/ ._ . Receptacles # Phase., AmPs, Switches # cHECK ~ ALL APPLICABLE CIRahge ~Dishwasber CIGarbage Disposal OFa~ OR Blower ElFuma~e OMC EIM0tors [2Gas Pumps OOthcr vAL~yE (Including labor and/~~ lals iucludinE J~ght fmures)$ ,~.~. .: 3/02