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HomeMy WebLinkAbout0083294-Electric CITY OF OSHKOSH No83294 OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD ON THE WATER Job Address 1300 WHEATFIELD WAY Owner TIMOTHY O /ANN M MATAKAS Create Date 12/07/2000 Contractor HOMEOWNER Category 612 Residential Single Family Addition /R Plan Service 0 New 0 Change O Temp Type 0 Overhead 0 Underground Volts Circuits Fixtures Mips Switches Receptacles Appliances Use /Nature of SFR RENEWAL OF PERMIT #63232 Work Fees: Valuatio 'OJT Plan Approval $0.00 Permit Fee Paid Issued By: Date 12/07/2000 Permit Voided The undersigned, in ap 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 b employed to assist with the work described in this permit unless said individuals are licensed by the City of Oshkosh to dorm said work. In the performan Of this w I agre pe -II work pursuant to rules goveming the described construction. 7 Signature ,e/4 z Date /Z 7 Agent/Owner Address TIMOTHY O /ANN M MATAKAS OSHKOSH WI 5490 0000 Telephone Number