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� CITY OF OSHKOSH No 156358
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 520 SIEWERT TRL Owner CITY OF OSHKOSH Create Date 01/04/2013
Contractor BELL ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A Type 0 Overhead 0 Underground I
Volts _ Circuits Luminaires 4
Amps Switches 2 Receptacles
Appliances Hnad dryers —
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Use/Nature of Comm/Restroom Remodel*for Lake Fly Cafe at the City zoo. Gutting the interior and making handicap accessible.
Work
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Fees: Valuation $12,494.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: � Date 06/24/2013
❑ Permit Voided i Parcel Id# 1110350000
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
AgenUOwner
Address 1303 MIDWAY RD MENASHA WI 54952 - 1129 Telephone Number (920)886-6589
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.