HomeMy WebLinkAbout0064076-Electric (pool)CITY OF OSHKOSH No oosao7s
OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 27 JOHNSON AVE Owner PATRICIA A SCHROEDER Create Date 5/26/98
Contractor HOMEOWNER Category 612 -Residential-Single Family AdditioN Plan
Service New ~ Change ~ Temp Type a ea n ergroun
Volts Circuits Fixtures eon ign Neon #
Amps Switches Receptacles Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Valuation $100.00 Plan Approval $0.00 Permit Fee Paid $10.00
Issued By: Date 5/26/98
emt o
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 `,: ~ r~~''~ Date ~ =ZL-9~
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Aaent/Owner
Address PATRICIA A SCHROEDER .OSHKOSH WI 54901 - 7377 Telephone Number