HomeMy WebLinkAbout1997-Electric (misc.)CITY OF OSHKOSH No 0057345
OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1050 MARICOPA DR Owner DOUGLAS 8 KATHY JARMUSZ Create Date 4/7/97
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/ Plan
Service New ~ Change ~ Temp Type a ea n ergroun
Volts Circuits Fixtures eon ign Neon ~
Amps Switches Receptacles Neon Transformers d
Appliances
UselNature of some a nc ea rec. , ou a s.
Work
Fees: Valuation $200.00 Permit Fee Paid $15.00
Issued By:
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 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 Date
Agent/Owner
Address DOUGLAS 8~ KATHY JARMUSZ OSHKOSH WI 54904 - 8117 Telephone Number