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0
OSHKOSH
ON THE WATER
Job Address 912 E PARi<:wAY AVE
CITY OF OSHKOSH
No
117042
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner
SCOTT AIL YDIA K KRISBAHER
Create Date 10/31/2005
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R
Plan
Circuits
Type
------1.
0 Overhead
0 Underground
0 New
0 Change
0 Temp
. N/A
Service
Volts
Amps
1201
Fixtures
~
~
Switches
8
Receptacles ~
Appliances
Use/Nature of FRI Replace update out dated wiring In bedroom 1 mud room, and sun porch.
Work
Plan Approval
$0.00
Permit Fee Paid
$32.00
Date 10/31/05
0 PenmitVoided I
Parcelld # 1103980000
The undersigned, in applying for an Electric Permit to perfonm 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 perfonm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfonm the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secur ny necess~]rovals before starti such activity. /A- ~I ~A ./
Signature é~ Date LÞ-LJ ~~
Agent/Owner
Address
"
OSHKOSH
WI 5490 - 4625
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is read'y.