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HomeMy WebLinkAbout0101927 EOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1965 S WESTHAVEN DR HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 101927 TERRANCE E HENKEL ETAL Create Date 04/16/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 9/4/03 wire 3 seasons room Work Fees: Valuation Issued By: $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 6/4/03 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 - 8329 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 1965 S WESTHAVEN DR Contractor HOMEOWNER Service ~ New (~) Change ~-~ Temp Volts Amps 0 Owner Category Circuits Switches No 101927 TERRANCE E HENKEL ETAL Create Date 04/16/2003 612 - Residential-Single Family Addition/R Plan Type ~_~__.O_ver~h_e_a~ .~_.?nd_e.rgroun~I 0 Fixtures 0 0 ReCeptacles 0 Appliances Use/Nature of ;~4/03 wire 3 seasons room Work Fees: Valuation Issued By: $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 6/4/03 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/J3e~pioyed to assist with the work described in this permit unless said individuals are licensed by the City of Oshkosh t¢' perforr]0 said work. .~ ~ J~f is~or~ In the performan th gree to perfor~v%k pu / erning the described construction. Agent/Owner Address OSHKOSH WI 5490- 8329 Telephone Number