HomeMy WebLinkAbout0058252-Electric (pool)
e
OSHKOSH
ON THE WATER
Job Address 826 BISMARCK AVE
CITY OF OSHKOSH
No 0058252
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KEVIN UELAINE SCHOUTEN Create Date 6/2197
Category 612 - Residential-Single Family AdditionlRe Plan
Contractor HOMEOWNER
Service
I_ New
o Change
o Temp
Volts
Circuits
Fixtures
Type I_ Overhead
U Neon Sign
o Underground
1 Neon #
Receptacles
Neon Transformers #
Amps
Switches
Appliances
Use/Nature of INSTALL A SINGLE RECEPTICLE FOR AN ABOVE GROUND POOL(GFCI)
Work
Fees: Valuation
Issued By: :Pf
$100.00
Permit Fee Paid
$10.00
Date 6/2197
U 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.
Signature
Date~ e,;;.h
Address
KEVIN UELAINE SCHOUTEN
OSHKOSH
WI 54901 - 5812
Telephone Number