HomeMy WebLinkAbout0057693-Electric (bath remodel)CITY OF OSHKOSH No 0057693
OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 116 S KNAPP ST Owner RICHARD JlTERRI PETERSON Create Date 4/28/97
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/ Plan
Service New ~ Change ~ Temp Type ver ea n ergroun
Volts Circuits Fixtures eon ign Neon #
Amps Switches Receptacles Neon Transformers #
Appliances
Use/Nature of
Work
a
Fees: Valuation
Issued By:
$50.00 Permit Fee Paid $10.00
ermi of e
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 ~~~L~y~^ Date
Agent/Owner
Address RICHARD JffERRI PETERSON OSHKOSH WI 54901 - 5705 Telephone Number
Date 4/28/97