HomeMy WebLinkAbout0117115 E
e
OSHKOSH
ON THE WATER
Job Address 243W16THAVE
CITY OF OSHKOSH
No
117115
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TODD AlMARY KRUEGER
Create Date 11/03/2005
HOMEOWNER
Service 0 New 0 Change 0 Temp
Volts
Amps ~
Category 612 - Residentiai-Single Family AddltioniR
Plan
Contractor
8N/A Type 0 Overhead
Circuits 0
Switches 0
0 Underground
Fixtures
~
Receptacles ~
Appliances
Use/Nature of FRI Gut and remodel bathroom on second floor. New receptacle, light flxture and exhaust fan.
Work
Fees: Valuati
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By:
Date 11/3/05
n Permit Voided I
Parcelld # 0902240000
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.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this pe it application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to se re ny,!Jl1 sary approvais before starting such activity. 17. h3 fOJ/"
Signature () F Date c,1.!:.
, I
Address
Agent/Owner
OSHKOSH
~ 5490 - 6967
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 ready.