HomeMy WebLinkAbout0108297-Electric (code violations) ' , CITY OF OSHKOSH No �os2s�
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OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORQ� �
ON THE WATER � ,l�`
Job Address 1132 W 5TH AVE Owner MICHAEL ElSHELL BLAU Cr�ateP 05/25/2004
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Contractor HOMEOWNER Category 612-Residential-Single Family Addition/R Plan
Service � New � Change � Temp � N/A Type ,� Overhead 0 Underground
Volts Circuits 0 Fixtures 0
Amps _ 0 Switches 0 Receptacles 0
ApPliances -- ------ I
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Use/Nature of Repair code violations in house
Work
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Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 5/25/04
Permit Voided Parcel Id#0608250000
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
Ciry 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.
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 necessa ppr Is before starting such activity.
Signature /� / �(/�,�����_� Date ������
� ~� AgenUOwner
Address OSHKOSH WI 5490- 5730 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
tnspection(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.