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HomeMy WebLinkAbout0101735 EOSHKOSH ON THE WATER Job Address Contractor HOMEOWNER Service [~ New Volts 110/220 Amps 200 322 W SOUTH PARKAVE O Change (~) Temp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner RUSSELL L/SHAWN KETTNER Category 634- Residential-Service Change No 101735 Create Date 05/23/2003 Plan Type I© Overhead (~) Underground I Circuits 0 Switches 0 Fixtures 0 Receptacles 0 Appliances Use/Nature of .5123103 service change Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 5/23/03 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 - 6567 Telephone Number OSHKOSH ON THE WATER .lob Address 322 W SOUTH PARK AVE Contractor HOMEOWNER Service ~) New Volts 110/220 Amps 200 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner RUSSELL L/SHAWN KETTNER Category 634- Residential-Service Change Change (~) Temp Type (~) Overhead Circuits 0 Switches 0 No101735 Create Date 05~23/2003 Plan (~ Underground Fixtures Receptacles Appliances Use/Nature of 5/23~03 serVice change Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 5~23/03 [] 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 this~'"~gre~e-to perform all work pursuant to rules governing the described construction. ~ ~ ~ Agen~Owner / Address OSHKOSH WI 5490- 6567 Telephone Nu~ber