HomeMy WebLinkAbout0060173-Electric (sunroom)
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Job Address 3392 HARBOR SAY RD
CITY OF OSHKOSH
No 0060173
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
ROMAN KAPLAN
Create Date 9/12/97
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/
Plan
Service
.. New
o Change
Circuits
o Temp
Type
Volts
Amps
Fixtures
. Overhead
U Neon Sign
o Underground
I Neon #
Switches
Receptacles
Neon Transformers #
Appliances
Use/Nature .of
Work
Fees:' Valuation
$100.00
Plan Approval
$0.00
Permit Fee Paid
$10.00
Issued By:
Date 9/12/97
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.
Inthe performance of this work I agree to perform all work pursuant to rules governing the described construction.
. Signature
Date
Agent/Owner
Adclress
APPLETON WI 54911 - 0000
Telephone Number