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Home My WebLink About0104643-Electric (misc)OSHKOSH ON THE WATER Job Address Contractor Service Volts 323 W 16TH AVE MY ELECTRIC CORP. [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner DALE KLEINSCHMIDT Category 623- ResidentiaI-DuplexAddition/Remodel Type I~ Overhead Circuits 0 Switches 0 No 104643 Create Date 10/07/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of Duplex / Install recept's, switches, lights, circuits Work Fees: Valuation Issued By: $2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 10/07/2003 Permit Voided 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 Agent/Owner Address 1512 RUGBY ST OSHKOSH WI 54902 - 6360 Telephone Number (920) 231-0707 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. Division of Inspection Services Page 1 of 2 Division of Inspection Services 215 Church Avenue P.O. BOX 1130 Oshkosh, WI 54903-1130 Fax (920} 236-5084 Phone (920) 236-5050 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to 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 normal permit fee, which ever is greater. If VOU are a contractor participatinq in the Permit Fee Account Svstem and have adecuate funds, type YES if you want this processed throuqh vour account DATEI9/7/2003 JOB ADDRESS [$23 W. 16th Ave. OWNER IDale Kleinshcmidt CONTRACTOR ]MY Electric Corp. CHECK ALLAPPLICABLE USE CATEGORY C Single Family C Industrial Duplex SERVICE I-' New Change Multi-Family C Rental C Commercial [- Temporary TYPE l- Overhead F' Not Applicable I-- Not I-' Underground Applicable FILL IN THE APPROPRIATE B~W~/TH THE ~ER Volts I Receptacles #1 Circuits Phase ] Amps ] Switches #1 Fixtures http://www, ci.oshkosh.wi.us/Community_Development?Permit_App_Electrical_2002.htm 10/7/03 Division of Inspe~ction Services Page 2 of 2 CHECK ALL APPLICABLE F Range F Fan 0R Blower 1- Motors F Dishwasher F Furnace F Gas Pumps 1-- Garbage l-- Dryer Disposal [" A/C [- Electric Sign F Water Heater DESCRIPTION OF ALL WORK BEING DONE Install rcpt's., Sw.'s, Lights, Crts. VALUE (Including labor and all materials including light fixtures) $ MASTER ELECTRICIAN IEric Youngbauer http ://www. ci.oshkosh.wi.us/Community_DevelopmentJPermit_App_Electrical-2002.htm 10/7/03