HomeMy WebLinkAbout0103196-ElectricOSHKOSH
ON THE WATER
Job Address 3162 HAYWARD AVE
Contractor HOMEOWNER
Service ~ New (~ Change (~) Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH
Category 611 - Residential-New Single Family Wirin
Type (~)Overhead
No103196
Circuits 0
Switches 0
Create Date 07/30/2003
Plan
O Underground
Fixtures
Receptacles
Appliances ac, dish, disp. dryer, range, micro
Use/Nature of F/30/03 wire new house only. no service
Work
Fees: Valuation
issued By:
$5,000.00 Plan Approval $0.00 Permit Fee Paid $105.00
Date 7/30/03
[] Permit Voided
The undersigned, in applying for an Electric Permit to pen'orm 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 v~rk I ,agree to per~rm all work pur~ant to rules goveming the described construction.
Signature y,J~ ./~-=~ ~~~ ~ Date
t./ r ~ ~ _ _ Age~t/Owgef~T
/ /
Address THOMAS N RUSCH OSHKO~f-~ ~ WI 5490 * 6302 Telephone Number 230-4900
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.