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HomeMy WebLinkAbout0102191 EOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1740 OHIO ST HOMEOWNER [~ New (~ Change (~ Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 102191 GARYA/SHEILA LANGKAU Create Date 06/13/2003 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/LATE PERMIT/Pool wiring. Work Fees: Valuation Issued By: $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 6/13/03 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 - 6754 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 1740 OHIO ST Contractor HOMEOWNER Service ~) New (~ Change O Temp Volts Amps 0 Owner Category ] Circuits Switches No 102191 GARY NSHEILA LANGKAU Create Date 06/13/2003 612 - Residential-Single Family Addition/R Plan Type ¥~ Ove[.head ~ _U_n_ d e_r_g_ro_u__n_d .... 0 Fixtures 0 Receptacles Appliances Use/Nature of ;FR/LATE PERMIT/Pool wiring. Work Fees: Valuation Issued By: $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 6/13/03 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 )~aid work. // In the performsce of ~k I agree to p~/rm a~ll work pursuant to rules governing the described construction. Signature .~ .4~'.~'~_.~-" "-"'~/,~~''='''~ Date '~"'~ J / / Agent/Owner Address OSHKOSH WI 5490- 6754 Telephone Number