HomeMy WebLinkAbout0102876-ElectricOSHKOSH
OH THE WATER
Job Address 257 W 18TH AVE
Contractor HOMEOWNER
Service ~) New
Volts
Amps 0
Change (~ Temp
CITY OF OSHKOSH NO102876
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JASON A/KRISTIE MUGERAUER
Category 612- Residential-Single FamilyAddition/R
I Type (~) Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 07/16/2003
Plan
(~ Underground
0
0
Appliances
Use/Nature of ~ES/Gut and remodel flint floor bathroom. Increase size by relocating one wall (if this is load bearing structural details must be
Work )rovided atthe rough inspection.) Install new fixtures, bathfan, receptacles, switches.
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
E~. Permit Voided J
Date 7/16/03
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 '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.
Signatureln the performaFl3~,,of t~is work I agre,~._to perform ell work pursuant to rules governing the described construction.~, ,2~ ~'*~Z~. ~f"~,4~,~-¢,~.~¢~ Date "7///~//~ ._~
Agent/Owner
Address OSHKOSH WI 5490- 6970 Telephone Number