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HomeMy WebLinkAbout0083836-Electric (siding) o OSHKOSH ON THE WATER Job Address 1230 HURON CT CITY OF OSHKOSH No 83836 ELECTRIC PERMIT - APPLICATION AND RECORD Owner DEBRA BAUERlDENNIS C LEWELLYN Create Date 01/26/2001 Contractor HOMEOWNER o New Category 612 - Residential-Single Family Addition/R Plan Service o Change o Temp Type 0 Overhead o Underground Volts Amps Circuits Fixtures Switches Receptacles Appliances Use/Nature of In association with siding done by Pat Wong. EIV form signed by homeowner Work $100.00 Plan Approval $0.00 Permit Fee Paid $0.00 Fees: Valuation Issued By: Date 01/26/2001 D Permit Voided I 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. Signature Date Agent/Owner OSHKOSH ~ 5490 - 3167 Telephone Number Address