HomeMy WebLinkAbout0080621-Electric (service chane)
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OSHKOSH
ON THE WATER
Job Address 1333 BISMARCK AVE
CITY OF OSHKOSH
No 0080621
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GARY CLARK
Create Date 07/26/2000
Contractor HOMEOWNER
Category 634 - Residential-Service Change
Plan
Service
b New
. Change
o Temp
Type . Overhead
o Underground
Volts 120/240
Amps 150
Circuits
Fixtures
Receptacles
Switches
Appliances
Use/Nature of ~FR / SERVICE CHANGE (owners son is an electrician for Peiper.) 100A-150A OH
Work
$40.00
Fee., val~ $900.00
Issued By: ~
Plan Approval $0.00
Permit Fee Paid
Date 08/31/2000
~J.t-"'~ide~
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 perfor aid work.
Signature
?~o/..oQ
Address
OSHKOSH
WI 54901 - 5618
Telephone Number 232-8437