HomeMy WebLinkAbout0090511-Electric (lights)
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OSHKOSH
ON THE WATER
Job Address 15 CRIMSON LA
CITY OF OSHKOSH
N090511
ELECTRIC PERMIT. APPLICATION AND RECORD
DOUG KIKRISTINE R PETERSON
Create Date 10/12/2001
Owner
Contractor
HOMEOWNER
0 New
Category 612 - Residential-Single Family Addltlon/R
Plan
Service
0 Change
0 Temp
Type
0 Overhead
0 Underground
Volts
Amps
Circuits
Fixtures
Switches
Receptacles
Appliances
Use/Nature of 11/15/01 rehang 2 lights and rehang 2 recps
Work
Fees: Valuation
$100.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By:
Date 10/15/01
0 Permit Voided I
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 '11 .IJ\ 1./,.-/ P-f ~ Date
AgenUOwner
I'O-.!'-l7/
Address
DOUG KIKRISTINE R PETERSON
OSHKOSH
WI 5490 - 0000
Telephone Number