HomeMy WebLinkAbout0119456 E
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OSHKOSH
ON THE WATER
Job Address 922 WINNEBAGO AVE
CITY OF OSHKOSH
No
119456
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CARISA L KUBICZ
Create Date 05/11/2006
Contractor
HOMEOWNER
Cate90OY 612 - Residential-Single Family Addition/R
Plan
Service
b New
0 Change
0 Temp
. N/A
Type
0 Overhead
0 Underground
J
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR\ Install 30 amp subpanel to detached garage (4 wire grounded as code requires) and recepts. and lighting as needed. See attached
W~ r-"- -
Fees: Valuation $500.00
Issued By: /::)1 K
Plan Approval -- $0.00
Permit Fee Paid
$20.00
Date 5/11/2006
0 Permit Vo~
Parcelld # 0203240100
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 licen~ed by the
City of Oshkosh to perform said work.
In the performance of this work I agree to perform all work pursuant to nules 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 to secure any necessary approvals before starting such activity. '
Signature &---- LÇ ° 1'1 ¿-....v K' Date (-¡/~/6 t
Agent/Owner
Address
OSHKOSH
WI 5490 - 0000
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.
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