HomeMy WebLinkAbout0050098-ElectricOSH OSH
ON THE WATER
Job Address 1219 KENTUCKY ST Owner PATRICK A & PAM PAWLAK
Contractor Homeowner Category 612 -Residential-Single Family Addition/
Service New O Change O Temp Type ver ea n ergroun
Volts Circuits Fixtures eon ign Neon #
Amps Switches Receptacles Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Valuation
Issued By:
$100.00
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Permit Fee Paid $10.00
ermi of e
Date 12/1/95
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 17-22, 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 ~~,~7 ~v ~~ ~ ~ Date
Agent/Owner
Address PATRICK A & PAM PAWLAK OSHKOSH WI 54901 - 3753 Telephone Number
No 0050098
Create Date 12/1/95
Plan