HomeMy WebLinkAbout0098410-Electric (wire garage)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 203 W BENT AVE
Contractor HOMEOWNER
Service ~) New (~) Change (~) Temp
Volts
Amps 0
N o 98410
Owner RANDALL J/ANN M SORENSEN
Category 612 - Residential-Single Family Addition/R
I Type
Circuits 0
Switches 0
Overhead
Create Date 11/05/2002
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of 11/5/02 wire new garage
Work
Fees: Valuation
Issued By:
$600.00 Plan Approval
$0.00 Permit Fee Paid $25.00
Date 11/5/02
[] Permit Voided 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 thl~,-~"~rk I agr .e~o pp, erf~m al~ work pCuant to rules governing the described construction.
Signature ,J~ . ,
Address
Date //-~
OSHKOSH WI 5490- 2927 Telephone Number