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HomeMy WebLinkAbout0102193 EOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1643 OHIO ST HOMEOWNER [~ New (~ Change (~ Tamp 100 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner MICHAEL D/KATRI JUEDES Category 634- Residential-Service Change No 102193 Create Date 06/13/2003 Plan Type I© Overhead (~ Underground I Circuits 0 Switches 0 Fixtures 0 Receptacles 0 Appliances Use/Nature of 9/13/03 late permit service change Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 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 - 6751 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 1643 OHIO ST Contractor HOMEOWNER Service ~) New (~ Change (~) Temp Volts Amps 100 No102193 Owner MICHAEL D/KATRI JUEDES Create Date 06/13/2003 Category 634- Residential-Service Change Plan J Type _(~_ .__O_ver~h_ead_ .............. Circuits 0 Fixtures Switches 0 Receptacles Appliances Use/Nature of 3/13/03 late permit service change Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 6/13/03 []_P_ermit Voided j 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 t(~ oerform all work pursuant to rules governing the described construction. Signature ' ~ Date ent/Ownerg Address OSHKOSH WI 5490- 6751 Telephone Number