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HomeMy WebLinkAbout0102016 EOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1450 PHEASANT CREEK DR HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 102016 ROBERT/ANNETTE RABE Create Date 05/05/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of SFR/ Finishing 1/2 of the basement to include a family room, full bath and utility room. Separate permits required for HVAC, electric and Work =lumbing work. (reviewed installation with the owner) Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 6/6/03 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 - 7452 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD No102016 Job Address 1450 PHEASANT CREEK DR Owner ROBERT/ANNETTE RABE Create Date 05~05/2003 Contractor HOMEOWNER Category 612 - Residential-Single FamilyAddition/R Plan Service ~_ New O Change C) Temp I Type ~ 0_v.e_r~h_e_ad ................ ..(~_._Under~g?un~d _ Volts Circuits 0 Fixtures Amps 0 Switches 0 Receptacles Appliances Use/Nature of SFR/ Finishing 1/2 of the basement to include a family room, full bath and utility room. Separate permits required for HVAC, electric Work ~nd Plumbing work. (reviewed installation with the owner) Fees: Valuati~q, ,...---.--.~$1~0 Plan Approval $0.00 Issued By: 1~~,~ ? ~ k.,~...~~ [] Permit Voided j Permit Fee Paid $45.00 Date 6/6/03 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 s~id individuals are licensed by the City of Oshkosh to perform said work. In the performanc~his ~efform all work pursuant to rules governing the described construction. Signature '""~-')'"~'~/'~7~-"'~ ~ '~- % ~-------~ "~,¢.._..__~, Date Agent/Owner Address OSHKOSH WI 5490- 7452 Telephone Number