HomeMy WebLinkAbout0064655-Electric (remodel)CITY OF OSHKOSH No oosas55
OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 616 FRANKLIN ST Owner MATHEW L HOSTAK Create Date 6/19/98
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/ Plan
Service New ~ Change 0 Temp Type verhead Un erground
Volts 120!240 Circuits Fixtures eon ign ~ Neon #
Amps Switches Receptacles Neon Transformers #
Appliances
Use/Nature of
Work
rooms
Fees: Valuation
Issued By:
$0.00
ermi of e
Permit Fee Paid $20.00
Date 6/19/98
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 perfo nce this work I agr~to perfo ~ all work pursuant to rules governing the described construction.
Signature ~ Date (p - ~
~ 9- ~
Agent/Owner
Address OSHKOSH WI 54901 - 4341 Telephone Number 920 23~- Z/