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� CITY OF OSHKOSH No 155819
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1836 MINNESOTA ST Owner JAMES UPAULA J VAUGHAN Create Date 05/24/2013
Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type 0 Overhead � Underground �
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR\WIRING FOR 18'x 48'ABOVE GROUND POOL IN REAR YARD ACCORDING TO ATTACHED SITE PLAN.ALL WORK SHALL'
Work MEET CURRENT CODE
Fees: Valuation $450.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: � Date 5/24/2013
� Permit Voided I Parcel Id# 1405340000
The undersigned,in applying for an Electric Permit to perform electrical work within a single family home,owned and occupied
as the principle residence by the undersigned,hereby acknowledges per City Municipal Code Section 11-22,that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performan e of this ork I agree to perform ali work pursuant to rules governing the described construction.
While the City o shkos has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pe it a plication within an easement,the City strongly urges the permit applicant to contact the easement
holder d to secur y necessary approvals before starting such activity.
Signature Date � °�y �
AgenUOwner
Addres OSHKOSH WI 5490- 6841 Telephone Number
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.
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