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0100512-Electric
OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 820 CHRISTIAN DR HOMEOWNER [~ New (~ Change (~ Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 100512 MARK/TARA SEHMER Create Date 03/31/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~ Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of :~/31/03 basement remodle Work Fees: Valuation Issued By: $1,500.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 3/31/03 Permit Voided 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 Address OSHKOSH WI 5490 - 0729 Telephone Number 235-3112 or 920-740- OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 820 CHRISTIAN DR Contractor HOMEOWNER Service ~ New O Change O Tamp Volts Amps 0 Owner Category Circuits Switches No 100512 MARK/TARA SEHMER 612- Residential-Single Family Addition/R Type ~ Overhead Create Date 03/31/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of 3/31/03 basement remodle Work Fees: Valuation Issued By: $1,500.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 3/31/03 [] Permit Voided 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 wor~ pursuant to rules governing the described construction. Signature "~'~J~~"~- ~/~~~wnerfy'~'~' Date Address V O~HKOSH WI 5490- 0729 Telephone Number 235-3112 or 920-740