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HomeMy WebLinkAbout0102732 EOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 888 W 18TH AVE HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 102732 JOHN E/MARY KIECKHAFER Create Date 07/09/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 7/9/03 wire above ground pool Work Fees: Valuation Issued By: $500.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 7/9/03 Permit Voided 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 performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address OSHKOSH WI 5490 - 6774 Telephone Number OSHKOSH ON THE WATER ,Job Address 888 W 18TH AVE Contractor HOMEOWNER Service ~ New (~ Change (~) Temp Volts Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner JOHN E/MARY KIECKHAFER Category 612 - Residential-Single Family Addition/R Type (~) Overhead No102732 Circuits 0 Switches 0 Create Date 07/09/2003 Plan (~ Underground Fixtures Receptacles Appliances Use/Nature of 7/9/03 wire above ground pool Work Fees: Valuation Issued By: $500.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 7/9/03 [] Permit Voided 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 performance of this work I agree to perform/all work pursuant to rules governing the described constructiom Signature ~ ~-~ ~ ~/~'-'~"/"% Date "~-(~~0.~ ~ ¢/ Agent/Owner Address OSHKOSH Wi 5490- 6774- Telephone Number