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0099399-Electric
OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 3091 SAWYER CREEK DR HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 99399 DONALD F/JOANNE SOHN Create Date 01/09/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 1/9/02 wiring for finished off basement Work Fees: Valuation Issued By: $1,350.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 1/9/03 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 - 6312 Telephone Number OSHKOSH ON THE WATER ,Job Address 3091 SAWYER CREEK DR CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Contractor HOMEOWNER Service E~ New (~ Change (~ Tamp Volts Amps 0 No99399 Owner DONALD F/JeANNE SOHN Category 612- Residential-Single Family Addition/R I Type Circuits 0 Switches 0 Overhead Create Date 01/09/2003 Plan (~ Underground Fixtures Receptacles Appliances Use/Nature of 1/9/02 wiring for finished off basement Work Fees: Valuation Issued By: $1,350.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 1/9/03 [] 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 o/ther 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. SignatureIn the performance ~~~uant to rules governing the described construction.~ -,~ . Date Agent/Owner Address OSHKOSH WI 5490- 6312 Telephone Number