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HomeMy WebLinkAbout2003-Electric (garage)OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 724 W 4TH AVE HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 102077 CALVIN D TOLLARD JR Create Date 06/10/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 9/10/03 wire new garage Work Fees: Valuation Issued By: $$00.00 Plan Approval $0.00 Permit Fee Paid $35.00 Date 6/10/03 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 CALVIN D TOLLARD JR OSHKOSH WI 5490 - 2176 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 724 W 4TH AVE Contractor HOMEOWNER Service ~- New O Change O Temp Volts Amps 0 No102077 Owner CALVIN D TOLLARD JR Create Date 06/10/2003 Category 612 - Residential~Single Family Addition/R Plan ] Type Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 6/10/03 wire new garage Work Fees: Valuation Issued By: $800.00 Plan Approval $0.00 Permit Fee Paid $35.00 [] Permit _V_o_id_.e_d] Date 6/10/03 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 !bis",~ork I agree to perform a_ll work,,~r~rsuar~ to rules governing the described construction. Signature~ ~' .~_.._..~ ..-~~..~ Date c'~ Agent/Owner Address CALVIN D TOLLARD JR OSHKOSH WI 5490 - 2176 Telephone Number