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HomeMy WebLinkAbout0101574-ElectricOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1808 MOUNT VERNON ST HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 101574 BRUCE J GURSKE Create Date 05/19/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 5/19/03 wire garage and add 60amp panel Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 5/19/03 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 - 2328 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 1808 MOUNT VERNON ST Owner BRUCE J GURSKE Contractor HOMEOWNER Category 612 - Residential-Single FamilyAddition/R Service ~ New (~) Change O Temp I Type _~_ .Ov.e_rb~ad Volts Circuits 0 Amps 0 Switches 0 No 101574 Create Date 05/19/2003 Plan O Underground Fixtures Receptacles Appliances Use/Nature of Work 5119/03 wire garage and add 60amp panel Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Issued By: Date 5/19/03 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. Signature Address OSHKOSH WI 5490- 2328 Telephone Number Date