HomeMy WebLinkAbout0056644-Electric
.OSISH
ON THE WATER
Job Address 1815 ORCHARD LA
CITY OF OSHKOSH
No 0056644
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
BRAD L BROWN/KIM M LAST
Create Date 1/30/97
Contractor
HOMEOWNER
Category 611 - Residential-New Single Family Wirin Plan
Service
. New
Volts
o Change
Circuits
o Temp
Fixtures
Type . Overhead
U Neon Sign
o Underground
I Neon #
Amps
Switches
Receptacles
Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Valuation
$100.00
Permit Fee Paid
$10.00
Issued By:
Date 1/30/97
U 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.
Signature
this work I agree to erform all work pursuant to rules governing the described construction.
~ 1 Date I J3d/'l~
Agent/Owner
Address
OSHKOSH
WI 54901 - 6664
Telephone Number 233-8735