HomeMy WebLinkAbout2005-Electric
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OSHKOSH
ON THE WATER
Job Address 4041 PRAIRIE LN
CITY OF OSHKOSH
No
117732
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DAVID J/JOANN C BORLEE
Create Date 12/30/2005
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/R
Plan
Service
0 New
0 Change
0 Temp
8N/A
Type
0 Overhead
0 Underground
Volts
Circuits
Fixtures
-----1
Amps
0
Switches 3
Receptacles -----1
Appliances
-~. or Wre ~="
Work
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Fees: Valuation
Issued By:
¡}fY
Date 12/30/05
0 Penmit Voided I
Parcelld # 1526430000
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.
Signature
Date
AgenUOwner
Address
OSHKOSH
11\1.1.. 5490 - 1283
Telephone Number 233-3042
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.
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