HomeMy WebLinkAbout0106753-Electric � CITY OF OSHKOSH No 106753
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER ���''E�
Job Address ,1635 CHESTNUT ST Owner WENDY E BERTELSEN Create Date 03/03/ 4 0�
Contractbr HOMEOWNER __ Category 612-Residential-Single Family Addition/R Plan �P'��
Service New � Change � Temp Type � Overhead �_Underground i
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use/Nature of /3/04 remodle laundry kitchen and 2 baths
Work
Fees: Valuation $4,500.00 Plan Approval $0.00 PermitFee Paid $114.00
Issued By: Date 3/3/04
� Permit Voided I Parcel Id# 1512480000
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 pgrform said work.
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In the performance of�this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oslikosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this perr�it application withi s ent,the City strongly urges the permit applicant to contact the easement
holder(s)and to s�cute any nece� "ry ap r al efor starting such activity.
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Signature � `J � Date
� AgenUOwner
Address OSHKOSH WI 5490- 2501 Telephone Number
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.