HomeMy WebLinkAbout0091835-ElectricCITY OF OSHKOSH No 91835
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 555 KIRKWOOD DR Owner STEPHEN/DEBRA L KOSMER Create Date 12/07/2001
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New Q Change Q Temp Type Q Overhead Q Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use/Nature of
Work
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $75.00
Issued By: Date 12/17/01
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 I ree to rfo II work pursuant to rules governing the described construction.
Signature ~ ~%~_ ,~~ , ~~~i'~j~.-- Date ~ 2-~ ? ~V I
~ ~ ~ Agent/Owner
Address STEPHEN/DEBRA L KOSMER OSHKOSH WI 5490 - 8960 Telephone Number