HomeMy WebLinkAbout1997-Electric (service change)CITY OF OSHKOSH No 0057344
OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1050 MARICOPA DR Owner DOUGLAS & KATHY JARMUSZ Create Date 4/7/97
Contractor HOMEOWNER Category 634 -Residential-Service Change Plan
Service New ~ Change ~ Temp Type a ea n ergroun
Volts 120/240 Circuits Fixtures eon ign Neon #
Amps 200 Switches Receptacles Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Valuation
Issued By:
$500.00 Permit Fee Paid $20.00
ermi of e
Date 4/7/97
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 undereigned, 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 Date
AgentlOwner
Address DOUGLAS 8 KATHY JARMUSZ OSHKOSH WI 54904 _ 8117 Telephone Number