HomeMy WebLinkAbout0099523-electric (basement)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
3131 REBECCA RUN
HOMEOWNER
~ New (~) Change (~ Temp
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner JOSEPH C/CHRIST KOWALCZYK
Category 612- Residential-Single Family Addition/R
Type (~ Overhead
No99523
Circuits 0
Switches 0
Create Date 01/20/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of 1/20/02 adding 3 recps in unfinished basement
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 1/20/03
[] 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 work~;ee to perform all w~uant to rules governing the described construction.
Signature ~ .......... ;~;;~: C ~~~~ Date
'~/" ~/ ~' Agent/Owner '
Address OSHKOSH WI 5490- 0000 Telephone Number