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HomeMy WebLinkAbout0102551 EOSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1732 MARICOPA DR HOMEOWNER [~ New (~) Change (~) Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 102551 JEFFREY S/DEANN SINGSTOCK Create Date 06/26/2003 612 - Residential-Single Family Addition/Ret Plan Type I© Overhead (~) Underground I Circuits 0 Fixtures 0 Switches 0 Receptacles 0 Appliances Use/Nature of 7/1/03 SFR Pool wiring Work Fees: Valuation Issued By: $400.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 7/1/03 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 - $234 Telephone Number OSHKOSH ON THE WATER ,Job Address 1732 MARICOPA DR Contractor HOMEOWNER Service ,~ New Volts Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category Change (~ Temp Circuits Switches No102551 JEFFREY S/DEANN SINGSTOCK 612 - ResidentiaPSingle Family Addition/R Plan Type (~ Overhead .... (~ ~r~d_erground 0 Fixtures 0 Receptacles Create Date 06/26/2003 0 0 Appliances Use/Nature of 7/1/03 SFR Pool wiring Work Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $20.00 Issued By: Date 7/1/03 g~ Perm. i! ~oid.e_d 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 t ~s ~vork I agree to perfor, p~all work Bursuant to rules governing the described construction. Signature .~ ~ ~.~.(~. f~ ~[~C ~.~.~'~ ~_~ Date '- - 'Agar,Owner Address OSHKOSH WI 5490- 8234 Telephone Number