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0099548-Electric (remodel)
OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1928 MCCURDY ST HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 99548 JOHN E MEYER Create Date 12/02/2002 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 3FR/remodleing 2 rooms and ading one more Work Fees: Valuation Issued By: $2,500.00 Plan Approval $0.00 Permit Fee Paid $75.00 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 - 6750 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 1928 MCCURDY ST Contractor HOMEOWNER Service ~ New (~ Change (~) Tamp Volts Amps 0 Owner Category Circuits Switches No 99548 JOHN E MEYER 612 ~ Residential-Single Family Addition/R Type (~ Overhead Create Date 12/02/2002 Plan (~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/remodleing 2 rooms and ading one more Work Fees: Valuation $2,500.00 Plan ApProval Issued By: $0.00 Permit Fee Paid $75.00 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 perfor~rj:~ work. In the performance of~¢/ree ~,¢a~ll~w;rk pursuant to rules governing the described construction. Signature ~ "-~V~j~,/ ~/~/~~J~ Date / ' - / ~' Agent/Owner Address -- OSHKOSH WI 5490- 6750 Telephone Number ,/-- Z. Z