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HomeMy WebLinkAbout0101526 EOSHKOSH ON THE WATER Job Address Contractor Service Volts 120 Amps 2420 NICOLE CT HOMEOWNER [~ New (~) Change (~) Tamp 2O CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 101526 TYE M OLSON/KIM M SCHULTZ Create Date 05/16/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 2 Fixtures 4 Switches 2 Receptacles 5 Appliances Use/Nature of SFR / Detached Garage Wiring (reviewed the installation with the owner) Work Fees: Valuation Issued By: $500.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 5/16/03 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 - 6400 Telephone Number OSHKOSH ON THE WATER Job Address Contractor Service Volts 120 Amps 2420 NICOLE CT HOMEOWNER ~ New (~ Change (~ Temp 2O CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner TYE M OLSON/KIM M SCHULTZ Category 612 - Residential-Single Family Addition/R Type (~ Overhead Circuits 2 Switches 2 No 101526 Create Date 05/16/2003 Plan (~ Underground ~i Fixtures 4 Receptacles 5 Appliances Use/Nature of ;FR / Detached Garage Wiring (reviewed the installation with the owner) Work Fees: Valuation $500.00 Plan Approval $0.00 Issued By: [] Permit Voided Permit Fee Paid $20.00 Date 5/16/03 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 /~--~f? Date Agent/Owner Address OSHKOSH WI 5490- 6400 Telephone Number