HomeMy WebLinkAbout0111321-Electric (kitchen remodel)OSHKOSH
ON THE WATER
Job Address 1235 MOUNT VERNON ST Owner
Contractor HOMEOWNER Category
Service I~ New
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Change (~ Temp (~ N/A
No 111321
RYAN R E PEISSIG/LAURA M BAEN
612 - Residential-Single Family Addition/Ret
Circuits
Switches
Type
Overhead
Create Date
Plan
10/27/2004
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of dtchen remodel
Work
Fees: Valuation
Issued By:
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 10/27/04
Permit Voided
Parcel Id # 1506710000
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 - 3859 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.