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HomeMy WebLinkAbout2000-Electric (dining room) ~ OSHKOSH ON THE WATER Job Address 1419 W 3RD AVE CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD OWner EDWARD B 1 JANET A WEISSE Contractor HOMEOWNER . New Category 612 - Residential-Single Family Additlon/R 0 Change 0 Temp Type . Overhead ---.1 Service Volts Circuits 2 Amps Switches Receptacles 10 Appliances No 0079471 Create Date 08/0212000 Plan 0 Underground Fixtures "~~_. ["'""~-'~' Work -, ..~ ~- "-' ~.OO. Issued By: , n Permit Voided: $20.00 Permit Fee Paid Date 08/0212000 The undersigned, in applying for an Electric Permit to periorm 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 periorm said work. In the perform?nc~f t~iS work I a ree to perf~rm all work pursuant to rules governing the described construction. Signature c:::x: ~ Date AgenUOwner Address EDWARD B 1 JANET A WEISSE OSHKOSH WI 54901 - 5603 Telephone Number F~..]"ou