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HomeMy WebLinkAbout0100583-ElectricOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1742 W 5TH AVE HOMEOWNER [~ New (~ Change (~ Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 100583 GREGORY P WEITZ/GAIL PERDUE Create Date 04/02/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~ Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 4/2/03 wire addition to house Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 4/2/03 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 - 0000 Telephone Number OSHKOSH ON THE WATER Job Address 1742 W 5TH AVE Contractor HOMEOWNER Service ~) New Volts Am ps 0 CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Owner GREGORY P WEITZ/GAIL PERDUE No 100583 Category 612- Residential-Single Family Addition/R (~) Change (~ Temp J Type (~ Overhead Circuits 0 Switches 0 Create Date 04/02/2003 Plan O Underground Fixtures Receptacles Appliances Use/Nature of 4/2/03 wire addition to house Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 4/2/03 E~]_. Permit Voided j 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 thiswork I agree to perform all work pursuant to rules governing the described construction. Signature ~'~ ~~'~ Agent/Owner Address Date OSHKOSH WI 5490 - 0000 Telephone Number