HomeMy WebLinkAbout0103190-Electric (wire garage)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
154 W 23RD AVE
HOMEOWNER
[~ New (~) Change (~) Tamp
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ANDREW A/DAWN M BASS
Category 612 - Residential-Single Family Addition/Ret
Type IQ Overhead
Circuits 0
Switches 0
No 103190
Create Date 07/30/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of ;'/30/03 wire new garage
Work
Fees: Valuation
Issued By:
$700.00 Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 7/30/03
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 - 7072 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.
OSHKOSH
ON THE WATER
Job Address 154 W 23RD AVE
Contractor HOMEOWNER
Service ~) New
Volts
Amps 0
(~) Change (~) Temp
CITY OF OSHKOSH No103190
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ANDREW A/DAWN M BASS
Category 612 - Residential-Single FamilyAddition/R
I Type O Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 07/30/2003
Plan
(~) Underground
Appliances
Use/Nature of ~/30/03 wire new garage
Work
Fees: Valuation
Issued By:
$700.00 Plan Approval
$0.00 Permit Fee Paid $30.00
[] Permit Voided
Date 7/30/03
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 M unicipal 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- 7072 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 th~ time the request is received. Work may
I
continue if the inspection is not performed within two business days from the time th® project is ready.