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HomeMy WebLinkAbout2003-ElectricOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 345 ROSALIA ST HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 101859 JERALD J DAUBNER Create Date 06~02~2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 9/2/03 remodle bad, living, dinning rooms Work Fees: Valuation Issued By: $1,100.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 6/2/03 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 JERALD J DAUBNER FISH CREEK WI 5421 - 0000 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD JobAddress 345 ROSALIA ST Contractor HOMEOWNER Service ~ New (~ Change ~ Temp Volts Amps 0 N o 101859 Owner JERALD J DAUBNER Create Date 06~02~2003 Category 612 - Residential-Single Family Addition/R Plan ] Type 0 Overhead 0 Underground _] Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 6/2/03 remodle bad, living, dinning rooms Work Fees: Valuation Issued By: $1,100.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 6/2/03 [] 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 o agr~j~to perform all work pur.,suant to rules governing the described construction. Signature ..,~¢'_ .,,r . .... Date Agent/Owner Address JERALDJDAUBNER FISH CREEK WI 5421 - 0000 Telephone Number