HomeMy WebLinkAbout0102672-ElectricOSHKOSH
ON THE WATER
,lob Addrase 1309 WAUGOO AVE
Contractor HOMEOWNER
Service [~) New
Volts
Amps 0
(~) Change (~ Tamp
CITY OF OSHKOSH NO102672
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HAROLD & ANDREA ROBERTS
Category 612 - Residential-Single Family Addition/R
} Type (~) Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 07/07/2003
Plan
(~ Underground
J
Appliances
Use/Nature of SFR/Remodeling the 2nd floor.
Work
Fees: Valuation
Issued By:
$1,100.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 7/7/03
[] 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~,~ ] I..agree.¢~ to perform all work pursuant to rules governing the described construction.
Sign at ure ~¢' ~'~-'¢'~----~'~"~eA (~ e n ';Own6~r
Address OSHKOSH WI 5490- 5324
Telephone Number