HomeMy WebLinkAbout0103571-Electric (service change)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
1216 OAK ST
HOMEOWNER
[~ New (~ Change (~ Tamp
100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LILLIAN BEDNAREK
Category 834- Residential-Service Change
Type
No 103571
Create Date 08/18/2003
Plan
Circuits 0
Switches 0
Overhead (~ Underground
Fixtures 0
Receptacles 0
Appliances
Use/Nature of 3/18/03 service change to 100 amps
Work
Fees: Valuation
Issued By:
$800.00 Plan Approval
$0.00
Permit Fee Paid $35.00
Date 8/18/03
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.
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.
Signature Date
Agent/Owner
Address OSHKOSH WI 5490 - 4070 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 1216 OAK ST
Contractor HOMEOWNER
Service ~ New
Volts
Amps 100
(~Change
CITY OF OSHKOSH No103571
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner L[LLIAN BEDNAREK
Category 834- Residential-Service Change
(~) Temp Type (~) Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 08/18/2003
Plan
(~ Underground
Appliances
Use/Nature of 3/18/03 service change to 100 amps
Work
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By:
Date 8/18/03
[] 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 '1t-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.
While the City of Oshkosh has no authority to enforce easement restri¢ions 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. ~
Signature ,~('~.~-~.~-¢~-- ~~
' - L~/__...) Agen'dOwr~ - '
Address OSHKOSH WI 5490- 4070 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.