HomeMy WebLinkAbout0119084-Electric (living & dining room)
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OSHKOSH
ON THE WATER
Job Address 1025 WAUGOO AVE
CITY OF OSHKOSH
No
119084
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner
MICHAEL J/M A JAWORSKI
Create Date 04/24/2006
Contractor
Category 612 - Residential-Single Family Addition/R
Plan
HOMEOWNER
Service 0 New 0 Change 0 Temp
Volts
Amps 0
. N/A Type 0 Overhead
Circuits 0
Switches 0
0 Underground
Fixtures
0
Receptacles ~
Appliances
Use/Nature of Rewire foyer, dining room, living room.
Work
Fees: Valuatio
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By:
Date 4/24/2006
n Permit Voided I
Parcelld # 0205290000
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 ail 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 pennit applicant to contact the easement
holder(s) and to secure any nee fore' g such activity.
4/¿-4/o1.
Date
Signature
Address
OSHKOSH
WI 5490 - 5462
Telephone Number
To schedule inspections please cali 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.