HomeMy WebLinkAbout0094156-Electric (sunroom)
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OSHKOSH
ON THE WATER
Job Address 1855 HICKORY LN
CITY OF OSHKOSH
N094156
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
PAUL C & LISA J WAGNER
Create Date 05/08/2002
Contractor
HOMEOWNER
b New
Category 612 - Residential-Single Family Addition/R Plan
Service
o Change
o Temp
Type 0 Overhead
o Underground
Volts
Circuits
o
o
Fixtures
o
o
Amps
o
Switches
Receptacles
Appliances
Use/Nature of ~/8/02 new sun room
Work
Fees: Valuation
$650.00
Plan Approval
$0.00
Permit Fee Paid
$30.00
Issued By:
Date 5/8/02
D 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
t is work I agree to perform all work pursuant to rules governing the described construction.
W I... ~ Date
Agent/Owner
~-8'~()L
Address
Oshkosh
WI 5490 - 0000
Telephone Number