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HomeMy WebLinkAbout0102516 EOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 60 JACOB AVE HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 102516 JOSEPH M/SHANNO REPKA Create Date 06/30/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of nstallation of circuits, devices and fixtures for basement remodel. Living Room, Bathroom, Bedroom and Guest Room. Work Fees: Valuation Issued By: $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 Date 6/30/03 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 - 0000 Telephone Number OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 60 JACOB AVE Owner Contractor HOMEOWNER Categ°ry Service ~) New (~) Change O Tamp I Volts Circuits Amps 0 Switches No 102516 JOSEPH M/SHANNO REPKA 612 - Residential-Single Family Addition/R Type O Overhead 0 Fixtures 0 Receptacles Create Date 06/30/2003 Plan O Underground Appliances Use/Nature of Installation of circuits, devices and fixtures for basement remodel. Living Room, Bathroom, Bedroom and Guest Room. Work Fees: Valuat~ Issued By: ~ $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00 [] Permit Voided Date 6/30/03 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 performa~'e~6t)this work I agree, to perform all work pursuant to rules governing the described construction. "~~ Date ~'"",~'~- Signature Agent/Owner Address OSHKOSH WI 5490- 0000 Telephone Number