HomeMy WebLinkAbout0123167-Electric
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OSHKOSH
ON THE WATER
Job Address 35 JACOB AVE
CITY OF OSHKOSH
No 123167
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MICHAEL B/ROCHELLE L MONROE
Create Date 01/12/2007
Category 612 - Residential-Single Family Addition/R Plan
Contractor
HOMEOWNER
Service
b New
120/240
o Change
o Temp
. N/A
200
Switches
Type 0 Overhead
4
8
o Underground
Volts
Amps
Circuits
Luminaires
15
15
Receptacles
Appliances
Use/Nature of Finish bsmt. area to include family room with gas fireplace, office, and bathroom wired according to current code.
VVork .
Fees: Valuation $1,200.00
Issued By: /J;l~---
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 1/12/2007
D Permit Voided I
Parcelld # 1416581600
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 goveming 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 ary ovals re starting such activity.
Signature
Date
1-/:7-07
(
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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