HomeMy WebLinkAbout0071082-Electric (upgrade)
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OSHKOSH
ON THE WATER
Job Address 209 BALDWIN AVE
CITY OF OSHKOSH
No 0071082
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MARKJ HUSMAN & WF
Create Date 06/29/199
HOMEOWNER
Category 634 - Residential-Service Change
Plan
Contractor
. Change
0 Temp
Type
. Overhead ( ) Underground
I I Neon :;'gn I Neon #
Neon Transformers #
Service 0 New
Volts 120/240
Amps 100
Circuits
Fixtures
Switches
Receptacles
Appliances
~~~.. [" "rn,,", "~O,
Work
Fees: valua::p $900.00 Plan Approval $0.00
Issued By: i ~ ~o,r>""\.-^
- I ! f'ermlt Voided!
Permit Fee Paid
$35.00
Date 06/29/199
The undersigned, in applying for an Electric Permit to peñorm 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 peñorm said work.
In the perform:.;;, thiS/Irk 41 a~r7to perform all work pursuant to rules governing the described construction.
Signature ,//Þ4/,{..I-- I ~ Date
f/ I Agent/Owner
6 . fJ-"f
Address
MARKJ HUSMAN & WF
OSHKOSH
WI 54901 - 3812
Telephone Number
Electric Permit Work Card
Job Address 209 BALDWIN AVE Permit Number ~ Create Date 06/29/1999
Owner MARK J HUSMAN & WF Contractor HOMEOWNER
Category 634 - Residential-Service Change
Service 0 New . Change 0 Temp I Type. Overhead 0 Underground !
Volts 120/240 Switches - U Neon Sign I Neon #
Amps -1.QQ Fixtures - Neon Transformers #
Circuits Receptacles Value $900.00
Appliances I I
Use/Nature SFR / SERVICE CHANGE
of Work
Inspections: 1J, .,J'~""
Date 08l11/1999 Type Service Inspector ~ Approved J
11:39AM ~
iNSPECTION REQUESTED THUR 8112/99 AM 9:30?
FAXED TO WPS 8/12/99, MAiLED 8/16/99