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HomeMy WebLinkAbout0099585-ElectricOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 2570 KAITLYNN DR HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 99585 MR/MRS RICKYA GARBE Create Date 01/27/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 1/27/03 wire 3 seasons room Work Fees: Valuation Issued By: $$00.00 Plan Approval $0.00 Permit Fee Paid $35.00 Date 1/27/03 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 - 0000 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 2570 KAITLYNN DR Contractor HOMEOWNER Service ~ New (~ Change (~ Temp Volts Amps 0 Owner Category Circuits Switches No 99585 MR/MRS RICKY A GARBE 612 - Residential-Single Family Addition/R Type O Overhead Create Date 01/27/2003 Plan (~) Underground Fixtures Receptacles Appliances Use/Nature of 1/27/03 wire 3 seasons room Work Fees: Valuation Issued By: $800.00 Plan Approval $0.00 Permit Fee Paid $35.00 Date 1/27/03 [] 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 1'1-22, 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 ~J~7 pursuant to rules governing the described construction. Signature ~"/(~____~-//~//~ Date  'f ~" Agent/Owner Address OSHKOSH WI 5490 - 0000 Telephone Number