HomeMy WebLinkAbout0095332-ElectricCITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
No 95332
Job Address 2213 JEFFERSON ST Owner NATHAN B C KIEHUROBERTA E TREI Create Date 06/21/2002
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New 0 Change ~ Temp Type ~ Overhead 0 Underground
Volts Circuits 0 Fixtures
Amps 0 Switches 0 Receptacles
Appliances
Use/Nature of
Work
0
new garage
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Issued By: Date 6!21/02
Permit Voided
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,! agree to perform all work pursuant to rules governing the described construction.
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Signature _~~"' ~ ~~~ ~. ~ ~ j< <,:. ~,~ Date
Address
Agent/Owner
OSHKOSH WI 5490 - 1909 Telephone Number