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CITY OF OSHKOSH OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 54 LAKE REST AVE Owner TIMOTHY R/JENNI FRANZ Create Date Contractor HOMEOWNER Category 612 - Residential-Single Family Addition/Ret Plan No 112173 12/30/2004 Service I~] New (~ Change (~ Temp (~ N/A Type I© Overhead (~ Underground I Volts Circuits 0 Fixtures 0 Amps 0 Switches 0 Receptacles 0 Appliances Use/Nature of :~ENEW PERMIT #101649/SFR / Wiring for an attached garage and workshop (50A sub-panel from an abandoned Hot Tub circuit) Work Fees: Valuation Issued By: $200.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 12/30/04 Permit Voided Parcel Id # 1417070000 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 - 7246 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.