HomeMy WebLinkAbout0096433-Electric (pool)CITY OF OSHKOSH Nossass
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 555 KIRKWOOD DR Owner STEPHEN/DEBRA L KOSMER Create Date 08/07/2002
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New (~ Change ~ Temp Type ~ Overhead ~ Underground
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use/Nature of
Work
poool
Fees: Valuation
Issued By:
$600.00 Plan Approval $0.00
Permit Fee Paid $25.00
Date 8/7/02
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 agr to pert al w pursuant to rules governing the described construction.
Signature ) Date ~ ~~~~
Address
Agent/Owner
OSHKOSH WI 5490 - 6571 Telephone Number