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HomeMy WebLinkAbout2003-Electric (basement bathroom)OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 3755 PURPLE CREST CT HOMEOWNER [~ New (~ Change (~ Temp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 99545 ROBERT C/COREY MERCKX Create Date 01/22/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 1/22/03 finsh room in basement and 1 bathroom in basement Work Fees: Valuation Issued By: $900.00 Plan Approval $0.00 Permit Fee Paid $40.00 Date 1/22/03 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 - 8212 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Job Address 3755 PURPLE CREST CT Contractor HOMEOWNER Service ~) New O Change (~ Temp Volts Amps 0 No99545 Owner ROBERT C/COREY MERCKX category 612- Residential-Single Family Addition/R Type (~) Overhead Circuits 0 Switches 0 Create Date 01/22/2003 Plan (~ Underground Fixtures Receptacles Appliances Use/Nature of 1/22/03 finsh room in basement and 1 bathroom in basement Work Fees: Valuation Issued By: $900.00 Plan Approval $0.00 Permit Fee Paid $40.00 Date 1/22/03 [] 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 alt work pursuant to rules governing the described construction. Signature ..... , _ _~,,? Date ! Agent/Owner Address OSHKOSH WI 5490 - 8212 Telephone Number /- zz-a3