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0111774-Electric
OSHKOSH ON THE WATER .lob Address 2981 HOMESTEAD DR Contractor HOMEOWNER CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category DOUGLAS FLOURO 611 - Residential-New Single Family Wiring No 111774 Service IO New (~ Change (~ Temp (~ N/A Type I© Overhead Volts 110/220 Circuits 0 Amps 200 Switches 0 Create Date 09/09/2004 Plan O Underground Fixtures Receptacles Appliances 'ange, fan, furnace, a-c, disposal, dishwasher. Use/Nature of ~ISFR/ New Single family with attached garage, driveway, and covered porch as per plans. Work Fees: Valuation Issued By: $8,000.00 Plan Approval $0.00 Permit Fee Paid $162.00 Date 11/23/04 Permit Voided Parcel Id # 1341990000 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 2501 OMRO RD Oshkosh WI 5490 - 0000 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.