HomeMy WebLinkAbout2000-Electric (shed)CITY OF OSHKOSH No oosos2o
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3829 PURPLE CREST DR Owner JEFFREY JEPSEN 8 URSULA TRIES Create Date 09/11/2000
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New Q Change Q Temp Type Q Overhead ~ Underground
Volts Circuits 2 Fixtures 4
Amps 30 Switches 1 Receptacles 6
Appliances
Use/Nature of
Work
Fees: Valuation $500.00 Plan Approve( $0.00 Permit Fee Paid $20.00
Issued By: Date 09/11/2000
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 I agr a to perform all work pursuant to rules governing the described construction.
Signature ~ Date
A Owner
Address OSHKOSH WI 54901 - 0000 Telephone Number 303-1269