HomeMy WebLinkAbout0062529-Electric (service change)
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ON THE WATER
Job Address 524 W NEW YORK AVE
CITY OF OSHKOSH
No 0062529
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
KELLY BURNETT
Create Date 3/3/98
Contractor
HOMEOWNER
Category 612 - Residential-Single Family Additionl
Plan
Service p New
Volts 120/240
. Change
Circuits
o Temp
Fixtures
Type . Overhead 0 Underground
~eon Sign I Neon #
Neon Transformers #
----.J
Amps
200
Switches
Receptacles
Appliances
~l
J
Use/Nature of
Work
ervlce change 200 ampere overhead & misc. wiring.
Fees: Valuation
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Issued By:
Date 3/3/98
Qermlt 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 work pursuant to rules governing the described construction.
Signature e-~~~~
/ - t7" ~ . Age~t/Owner
Date
Address
KELLY BURNETT
OSHKOSH
WI 54901 - 0000
Telephone Number