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HomeMy WebLinkAbout0102334-Electric (service change)OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1070 W 10TH AVE HOMEOWNER [~ New (~) Change (~) Tamp 200 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner CORY A HANNEMAN Category 634- Residential-Service Change No 102334 Create Date 06/20/2003 Plan Type I© Overhead (~) Underground I Circuits 0 Switches 0 Fixtures 0 Receptacles 0 Appliances Use/Nature of 9120103 service change to 200 amp underground Work Fees: Valuation Issued By: $650.00 Plan Approval $0.00 Permit Fee Paid $30.00 Date 6/20/03 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 - 6212 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 1070 W 10TH AVE Contractor HOMEOWNER Service ~) New (~) Change (~) Temp Volts Amps 200 No 102334 Owner CORY A HANNEMAN Create Date 06/20/2003 Category 634- Residential-Service Change Plan ] Type Circuits 0 Fixtures Switches 0 Receptacles Appliances Use/Nature of 6/20/03 service change to 200 amp underground Work Fees: Valuation Issued By: $650.00 Plan Approval $0.00 Permit Fee Paid $30.00 Date 6/20~03 [] 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 t~ work I agree to perform all work pursuant to rules governing the described construction. Signature ~ Agent/Owner Address OSHKOSH WI 5490 - 6212 Telephone Number