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CITY OF OSHKOSH No 156136 ;
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OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2895 ALGOMA BLVD Owner JOHN SNYDER LLC Create Date 06/12/2013 '`
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Contractor SCHAFER ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan £
Inspector Adam Krause
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Service New � Change � Temp � N/A Type � Overhead � Underground i a
Volts Circuits Luminaires �
Amps Switches _ Receptacies
Appliances
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Use/Nature of COMM\Office remodel � �
Work
Fees: Valuation $15,500.00 Plan Approval $0.00 Permit Fee Paid $259.00
issued By: Date 06/12/2013 �
❑ Permit Voided'I Parcel ld# 1200010700
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction. F
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 �
AgenUOwner ;
Address 6364 COUNTY ROAD A NEENAH WI 54956 -9717 Telephone Number (920)725-2031
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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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Ciry of Oshkosh
Divisiori of Inspection S�rvices �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050 O�O��
Fax (920)236-5084
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ELECTRICAL PERMIT APPLICATION
All in€ormation after bold categories�ust be provided
� Iacomplete appliearions will not be proccssod.
.� • A.pplication(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspe.ction Services,PO Box 1128,
Ostikosh WI 54903-1128. Commeneing work without petinit(s)will result in fees being doubled or$100.00 plus the
� normal pennit fee,which ever is greater. . .
' OR � �
� If vou are a contractor participating in the Permit Fee Account Svstem and have ade4uate funds. check here
iJvou want this processed through vour account ❑
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JOB ADDRESS o`� ��S (����-- �nr�,•
OWNER -
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CONTRACTOR �� c�0��4..� �_ pQ��. �
G�ECK El ALL APPLICABLE
USE CATEGORY �
OSingle Family ODuplex OMvlti-Family ❑Rental �ommer�cial ❑Industrial
SERVICE �I�Tew OTemporary TYPE �Overhead BiQot Applicable
C1Change �ot Applicable DUnderground �
FILL IN 1�E APPROPRIATE BLANK WITH TSE NUMBEit �
- Volts / Receptacles# Circaits# '
PLase - =
Amps_ Switches# F'utures#
CHECK H ALL APPLICABLE
L7Range � �Dishwasher �Garbage Disposal �Dryer �Water Heater
C]Fan OR Blower OFurnace OA/C � C1Electric Sign �
. OMotors ❑Gas Pumps ❑Other _ _ -
DESCRIPTION OF ALL WORK BEING DONE l'J ��w.i ,0�2Za-�(L�
f.�,�aS9•�
. VALUE(Inctuding labor and all materials including light fiztures)$ ���S�va ' � _
MASTER ETIECTRICIAN
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