HomeMy WebLinkAbout0099895-ElectricOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 2961 BROMFIELD DR
Contractor HOMEOWNER
Service ~ New (~ Change O Temp
Volts
Amps 0
No 99895
Owner SCOTT A/TONI S SCHURRER
Category 612 - Residential-Single Family Addition/R
I Type
Circuits 0
Switches 0
Overhead
Create Date 02~20/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of 2/20/03 finish off basement
Work
Fees: Valuation
Issued By: ~
$800.00 Plan Approval
$0.00 Permit Fee Paid $35.00
[] Permit Voided
Date 2/20/03
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 perforr~'~f thi.s~ to perform all work pursuant to rules governing the described construction.
S ig n~:~~.~__.'~..~.,~/~_./? ~//'~g e n t/Own er Date
Address 235-5610
OSHKOSH WI 5490- 6553 Telephone Number