HomeMy WebLinkAbout0123824-Electric VOID
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OSHKOSH
ON THE WATER
Job Address 442 W 19TH AVE
Contractor HIETPAS ELECTRIC
CITY OF OSHKOSH
No 123824
ELECTRIC PERMIT - APPLICATION AND RECORD
VO I D
Owner TARA WICK
Create Date 03/16/2007
. Change 0 Temp
ON/A
Type . Overhead
Plan
o Underground
Category 634 - Residential-Service Change
Service
o New
120/240
Circuits
Luminaires
Volts
Receptacles
Amps
100
Switches
Appliances
Use/Nature of SFR\ Change service from fuses to breakers, grounding as required by code.
Work Dan Hietpas.
$600.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$32.00
Issued By:
Date 03/16/2007
o Permit Voided]
Parcel Id # 1405700000
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 to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
OSHKOSH
WI 54902 - 6866
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), yoJr 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.
~
O.[tfQ[H
PAYEE, VENDOR
OR CLAIMANT
CITY OF OSHKOSH
CITY HALL 215 CHURCH AVE.
P.O. BOX 1130
OSHKOSH, WISCONSIN 54901
NAME.
ADDRESS.
CITY AND STATE.
Tara Wick
442 W 19th Ave
Oshkosh WI 54902
MULTI-PURPOSE FORM
D INVOICE
D VOUCHER
D CLAIM
DATE.
04/12/2007
DEPART11ENT: INSPECTIONS
NO~
DESCRIPTION
Refund payment for Electrical Permit #123824 issued 3/16/07 Permit VOIDED and
reissued to Hietpas Electric 4/11/07 under Permit # 124176.
UNIT PRICE
AMOUNT
$32.00
ACCOUNT DISTRIBUTION
100-0750-4376-00000
TOTAL
$32.00
I, THE SUBSCRIBER, AFFIRM AND SAY THAT THE ABOVE CLAIM, AS STATED, 'OR AS PER ATTACHED INVOICE,
IS JUST, CORRECT, AND TRUE, AND THAT NO PART THEREOF HAS BEEN AUl?ITED, ALLOWED, OR PAID.
EXTENSION OK
(To Be Signed Here By An Individual)
Date
e
OSHKOSH
ON THE WATER
Job Address 442 W 19TH AVE
CITY OF OSHKOSH
No
123824
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TARA WICK
Create Date 03/16/2007
Category ~34 - Re~i.<!~l1tial-Service Change
Plan
Contractor
HOMEOWNER
Service
b New
120/240
. Change
o Temp
ON/A
-l
I
Type
. Overhead
o Underground
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of FR\ Change service from fuses to breakers, grounding as required by code.
Work
Fees: Valuation $600.00
Issued By: -1 fi <:: .
Plan Approval
$0.00
Permit Fee Paid
$32.00
Date 3/16/2007
D Permit Voided I
Parcelld # 1405700000
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
h~lder(S) and to sJ~ any nece~s~~ol~s before starting such activity. 31 I
Signature ~ ~~ Date9/_fJ1
Agent/Owner / r
OSHKOSH
~ 5490 - . _~!!?~ Telephone Number
Address
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (te. 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.