HomeMy WebLinkAbout0056178-Electric (bedroom)
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ON THE WATER
Job Address 928 BISMARCK AVE
CITY OF OSHKOSH
No 0056178
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KRIS PARRISH
Create Date 12/19/96
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/
Plan
Service
Ie New
o Change
Circuits
o Temp
Volts
Fixtures
() Underground
I Neon #
Amps
Switches
Receptacles
Neon Transformers #
Appliances
Use/Nature of n
Work
Fees: Valuation
$100.00
Permit Fee Paid
$10.00
Issued By:
Date 12/19/96
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
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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Date
Address
AgenUOwner
OSHKOSH
WI 54901 - 5879
Telephone Number 414-426-9562