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OSHKOSH
ON THE WATER
Job Address 3630 STEARNS DR
CITY OF OSHKOSH
No
123007
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DANIEL E DOWLING
Create Date 12/27/2006
Contractor
SCHAFER ELECTRIC INC
. New 0 Change 0 Temp
120/208
Category 652 - Industrial-New Building Wiring
Service
ON/A
Type 0 Overhead
Plan
. Underground
Volts
Circuits
Luminaires
Amps
400
Switches
Receptacles
Appliances
Use/Nature of COMM/ Wire new warehouse and office area
Work
$52,100.00
Plan Approval
$0.00
Permit Fee Paid
$372.00
Fees: Valuation
Issued By:
Date 12/27/2006
o Permit Voided I
Parcelld # 1278800000
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
AgenVOwner
Address
6364 COUNTY ROAD A
NEENAH
WI 54956 - 0
Telephone Number 920-725-2031..
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 54903-1 qo
0, Phone'(920) 236-5050
. . Fax (920) 236-5084
~
OJHKOfH
ON THF VJATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories nmst be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed t~ 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
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor particilJatinf! in the Permit Fee Account Svstem and have adeauate funds. check here
ifvou want this processed throud ',lour account 0 .
'3<P3o s-tea rn So Dr.
JOBADDRESS :1.69'- ~ IA.
O~R" ~A~ ~f' '
", CONTRACTOR J/.~~ d;t;~ ~.
( .
DATE / ~ . ).. (, ,- tP(,
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EJ
E"~D"
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CHECK er ALL APPLICABLE
USE CATEGORY
o OSingle Family
.. SERVICE.Jd'folew
OChange
DDuplex
OMulti-Fami1y
ORental
DEe 2 7 2006
DEPARTMENT OF
COMMUNITY DEV.f1 Ol? lMENT
,.0tommerclaI DIiiuusffiaI
OTemporary
ONot Applicable
TYPE DOverhead
..J;3'Cfuderground
ONot Applicable
. FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Switches #
FIXtlires #
~
\~. :
. ~ ~f!,/QO~
\ r(
\
"Volts /,9.0 1.20f
:rhase .3 .
. :Amps ~IJD
Receptacles #
. Circuits #
CHECK er ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
DFumace
DGas Pumps
OGarbage Disposal
ONe
o Other
. .
DDtyer OWater Heater
DElectric Sign ,
DESCRIPTION OF ALL WORK BEING DONE JJ~.AAJ'" M//lA.J4.,d.l- ,~"r ~If-.I~ ~.
~
,c~ 37)./H>
r :VALUE (Including labor and all materials including light fixtures) $..')"~ I () c> . lP"'O
. MAsrnRELECTRICIAN VJ~ J+ .
3/02