HomeMy WebLinkAbout1997-Electric (interior alterations)CITY OF OSHKOSH No oo565s7
OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1538 MAPLE AVE Owner THOMAS 8 DEBRA REHM Create Date 1/27/97
Contractor HOMEOWNER Category 611 -Residential-New Single Family Wirin Plan
Service New ~ Change ~ Temp Type ve ea n ergroun
Volts Circuits Fixtures eon ign Neon #
Amps Switches Receptacles Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Valuation
Issued By:
$100.00 Permit Fee Paid $10.00
ermi of e
The undereigned, in applying for an Electric Permit to pertorm 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
tndividuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to pertorm said work.
In the pert n his work I agree to pe all w/o~rk pursuant to rules governing the described construction.
Signatur~~~~~F~~ ~j--~J-2L ~~ f~~+.~,~ Date
Date 1/27/97
" 1 Agent/Owner
Address THOMAS 8 DEBRA REHM ( OSHKOSH WI 54901 - 2627 Telephone Number