HomeMy WebLinkAbout0082378-ElectricCITY OF OSHKOSH No 0082378
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 937 COZY LN Owner MICHAEL S/DIANE P GRISWOLD Create Date 10/23/2000
Contractor HOMEOWNER Category 634 -Residential-Service Change Plan
Service New ~ Change Q Temp Type Q Overhead ~ Underground
Volts 120/240 Circuits 1 Fixtures 1
Amps 200 Switches 1 Receptacles 4
Appliances
Use/Nature of
Work
Fees:
Issued By:
Permit Voided
Date 10/23/2000
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 ~ ~A ~- ~~~~~~ Date / G -d~-Oc~
Agent/Owner
Address _ Oshkosh WI 54901 - 0000 Telephone Number
FR / 100A OH - 200A UG & 1ST FLOOR BEDROOM REMODEL
Plan Approval $0.00 Permit Fee Paid $40.00
Electric Permit Work Card
Job Address 937 COZY LN Permit Number 82378 Create Date 10/23/2000
Owner MICHAEL S/DIANE P GRISWOLD Contractor HOMEOWNER
Category 634 -Residential-Service Change
Service New ~ Change Q Temp Q N/A Type Q Overhead ~ Underground Q N/A
Volts 120/240 Circuits 1 Fixtures 1
Amps 200 Switches 1 Receptacles 4
Fee $40.00 ~ Value $900.00
Appliances
Use/Nature FR / 100A OH - 200A UG & 1ST FLOOR BEDROOM REMODEL
of Work
Inspections:
Date 11/27/2000 Type Rough In Inspector KEVIN BENNER
AM
S 11 /28/00 AM
Date 12/19/2000 Type Service Inspector
/ Approved
/ Approved
8:14 AM
WED 12/27/00, 10:00 AM -NOON
FAXED 8 MAILED TO WPS 12/28/00