HomeMy WebLinkAbout0103147 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
1419 NEBRASKA ST
HOMEOWNER
[~ New (~) Change (~) Tamp
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner AUSTIN A FRIBANCE
Category 612 - Residential-Single Family Addition/Ret
Type IQ Overhead
Circuits 0
Switches 0
No 103147
Create Date 07/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of 7/29/03 later permit for rewire of 2 bedrooms
Work
Fees: Valuation
Issued By:
$$50.00 Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 7/29/03
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 - 6527 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
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1419 NEBRASKA ST
Contractor HOMEOWNER
Service ~) New O Change (~ Temp
Volta
Amps 0
No103t47
Owner AUSTIN A FRIBANCE
Categow 612 - Residential-Single Family Addition/R
I Type (~ Overhead
Circuits 0
Switches 0
Create Date 07/29/2003
Plan
(~) U nd ~r~'~u_n_d_
Fixtures
Receptacles
Appliances
Use/Nature of 7/29/03 later permit for rewire of 2 bedrooms
Work
Fees: Valuation
Issued By:
$850.00 Plan Approval
$0.00 Permit Fee Paid $40.00
[] Permit Voided J
Date 7/29/03
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 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~wdf~agree to ~.erform all ~)rk pursuant to rules governing the described construction.
Signature _~ Date
AgentJOwner
Address OSHKOSH WI 5490- 6527 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.