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0105268-Electric
OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 1504 KNAPP ST HOMEOWNER [~ New (~ Change (~ Tamp CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner Category No 105268 MARY M STAERKEL Create Date 06/19/2003 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/Constructing a 20'x20' attached garage addition, 20'x15' family room addition, and converting the existing attached garage into a Work 3athroom. All construction shall comply with state and local building code requirements. Fees: Valuation Issued By: $500.00 Plan Approval $0.00 Permit Fee Paid $100.00 Date 11/12/03 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. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address OSHKOSH WI 5490 - 6616 Telephone Number To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready.