HomeMy WebLinkAbout0118095-Electric (bedroom)
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OSHKOSH
ON THE WATER
Job Address 1805 DELAWARE ST
CITY OF OSHKOSH
No
118095
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner
SHANNON TIMAMEE VERBURGT
Create Date 02/03/2006
HOMEOWNER
Service 0 New 0 Change 0 Temp
Volts
Amps -----P.
Contractor
Category 612 - Residential-Single Family AdditionlR
Plan
8N/A
Type
0 Overhead
0 Underground
Circuits
0
Fixtures
-----P.
Switches 0
Receptacles -----p.
Appliances
UselNature of FRI Wiring Associated with Interior remodel on 1st floor bedroom. (Check attic for prior open correction notice related to knob and
Work ube wiring being insulated, and open splices)
$200.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued B .
Date 2/3/06
n Permit Voided I
Parcelld # 1408140000
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 permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and t ecure any nece s ry,approvals befor ctivity. Date -;... - n (-,1)
Signature AJ.I ~
Agent/Owner
Address
WI 5490 - 0000
Telephone Number 426-3992
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.