HomeMy WebLinkAbout0060731-Electric
.
OS~SH
ON THE WATER
Job Address 3393 HARBOR BAY RD
CITY OF OSHKOSH
No 0060731
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JEFFRY S NIMKE
Create Date 10/16/97
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Addition/
Plan
Service
.. New
o Change
Circuits
o Temp
Volts
Fixtures
Type . Overhead 0 Underground
U Neon :SIgn I Neon #
Neon Transformers #
Amps
Switches
Receptacles
Appliances
Use/Nature of InIS
Work
Fees: Valuation
$200.00
Plan Approval
$0.00
Permit Fee Paid
$15.00
Issued By:
Date 10/16/97
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.
In the performance of this work I agree to perform all wo k pursuant to rules governing the described construction.
Signature
Date
Address
Agent/Owner
APPLETON WI 54914 - 0000
Telephone Number