HomeMy WebLinkAbout0117975-Electric
e
OSHKOSH
ON THE WATER
Job Address 3135 HALLIE HOLLOW CT
CITY OF OSHKOSH
No
117975
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner
THEODORE AIPAME MILLER
Create Date 0112512006
Contractor
HOMEOWNER
Service 0 New 0 Change 0 Temp
Volts
Amps 0
Category 612 - Resldential-8ingle Family AdditionlR
Plan
. NIA
Type
0 Overhead
0 Underground
Circuits
~
Fixtures
0
Switches 0
Receptacles 0
Appliances
UselNature of FR/ LATE PERMITI Finishing off a bathroom in the basement and installing a wall to close off the laundry room.
Work
Fees: Valuation
Issued By: \5\Ar
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 1125106
n Permit Voided I
Parcelld # 1343680000
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.
]n 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 pany, if you perform 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 secure any necessary approvals before starting such activity.
Signature ~ yv¡ \ \ L--.r
Date
\ \~(,\ (,.
AgenUOwner
Address
OSHKOSH
WI 5490 - 6302
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.