HomeMy WebLinkAbout0118492-Electric (receptacles)
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OSHKOSH
ON THE WATER
Job Address 143 CHURCH AVE
CITY OF OSHKOSH
No
118492
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
SCOTT C/NICOLE BRAYTON
Create Date 03/13/2006
HOMEOWNER
Service 0 New 0 Change 0 Temp
Volts
Amps ~
Contractor
Category 612 - Residential-Single Family Addition/R
Plan
. N/A Type 0 Overhead
Circuits ~
Switches 0
0 Underground
Fixtures
0
Receptacles 0
Appliances
Use/Nature of FR\ Wire bath recepts. for hair dryers
Work
Fees: Valuation
$175.00
Plan Approval
$0.00
Permit Fee Paid
Issued By:
4iJ-<)
$20.00
Date 3/13/2006
n Permit Voided I
Parcelld # 0701440000
The undersigned, in applying for an Electric Permit to perform electrical work within a sin91e 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 p mt-said work.
In the performan e of this work I agree to perform all work pursuant to rules governing the described construction.
While the City 0 Oshkosh has no authority to enforce easement restrictions of which it Is not a party, if you perform the work
described In this ermit apPIi~a . within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to s ur ny n sa~ls before starting such activity. -¡¡, ~
Signature , L Date '(I? ð b
AgenVOwner
/V}
@ ~c:- f(.
OSHKOSH
'!'!!... 5490 - 0000
Telephone Number CELL 216-0235
Address
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.