HomeMy WebLinkAbout0102926-Electric (pool)OSHKOSH
ON THE WATER
Job Address 745 DIVISION ST
Contractor HOMEOWNER
Service ~) New
Volts
Amps 0
Change (~ Temp
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SHAUN R DAUGHERTY
Category 612 - ResidenfiaI-Single Family Addition/R
I Type (~ Overhead
Circuits 0
Switches 0
No102926
Create Date 07/18/2003
Plan
~) Underground
Fixtures 0
Receptacles 0
Appliances
Use/Nature of ~,dd GFI outlet at beck of house for pool pump/filter.
Work
$100.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Permit Voided
Date 7/18/03
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 It -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 (~/'w,.~..~--. ~'-~J~-.z~ Date
- ' ~ '" --' ner
Address WI 5490- 4405 Telephone Number
232-0002