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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 105652
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
1220 FAIRFAX ST
Owner
RUSCH HOMES LLC
Create Date 10/31/2003
Contractor
CUMINGS ELECTRIC INC
Category 611 - Residential-New Single Family Wiring
Plan
Service
10 New
120/240
0 Change
0 Temp
Type
10 Overhead
0 Underground
Volts
Circuits
Fixtures
Amps
200
Switches
Receptacles
Appliances
Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of NSFR/ Install service and wiring for new home. * Job #6848.
Work
Fees: Valuation
$3,500.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Issued By:
Date 12/08/2003
U Permit Voided I
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
PO BOX 749
NEENAH
WI 54957 - 749
Telephone Number
920-722-1240
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.