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0099267-Electric (remodel)
OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1308 W NEW YORK AVE HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 99267 TERRYTOWNS Create Date 12/26/2002 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 'emodle rooms on first floor Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 1/3/03 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. Signature Date Agent/Owner Address OSHKOSH WI 5490 - 2757 Telephone Number OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1308 W NEW YORK AVE HOMEOWNER ~ New (~ Change (~ Temp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner TERRY TOWNS Category 612- Residential-Single Family Addition/R Type (~ Overhead No 99267 Circuits 0 Switches 0 Create Date 12/26/2002 Plan (~) Underground Fixtures Receptacles Appliances Use/Nature of ;modle rooms on first floor Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 1/3/03 .E~_._ Permit Voided J 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 ~rk I agree to~orm all work pursuant to rules governing the described construction. Signature '~J¢ ~ ~~~5,~ -~ ~ -~z ? Date f~" Agent/Owner Address OSHKOSH WI 5490- 2757 Telephone Number