HomeMy WebLinkAbout0098799-ElectricOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 40 W 11TH AVE
Contractor HOMEOWNER
Service ~ New (~) Change (~ Tamp
Volts
Amps 0
No98799
Owner DAVID L/GINA MUEGGE
Category 612- Residential-Single FamilyAddition/R
I Type
Circuits 0
Switches 0
Overhead
Create Date 11/26/2002
Plan
(~) Underground
Fixtures
Receptacles
l
Appliances
Use/Nature of 11/26/02 remodle upper bedroom
Work
Fees: Valuation
Issued By:
$600.00 Plan Approval
$0.00 Permit Fee Paid $25.00
[] Permit Voided i
Date
11/26/02
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- 6010 Telephone Number