HomeMy WebLinkAbout0103446-ElectricOSHKOSH
ON THE WATER
Job Address 19 W CUSTER AVE
Contractor HOMEOWNER
Service ~ New (~ Change O Temp
Volts
Amps 0
CITY OF OSHKOSH No103445
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner GARY PJMICHELLE WOODS
Category 612 - Residential-Single Family Addition/R
Type ~) Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 05/11/2003
Plan
(~) Underground
0
0
Appliances
Use/Nature of RES/Convert approx. 1/2 of NW room of 1st floor into a full bath. Install outlet, bath fan and light fixture.
Work
Fees: Valuatic~
Issued By: ~
$300.00 Plan Approval $0.00 Permit Fee Paid $20.00
[] Permit Voided
DaR ~11~3
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 1'1-22, 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 perfo~m a~work pursuant to rules governing the described construction.
Signature~~-~-~~.~ ~- ( ~/-'~ ~Age'~n~Owner Date ~r//~....~
Addre~a~ ~., .¢/ ~ OSHKOSH WI 5490 - 2935 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5'128 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.
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 necessary approvals before starting such activity.