HomeMy WebLinkAbout2000-ElectricCITY OF OSHKOSH No 0081832
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1050 MARICOPA DR Owner DOUGLAS 8~ KATHY JARMUSZ Create Date 10/05/2000
Contractor HOMEOWNER Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change ~ Temp Type ~ Overhead ~ Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use/Nature of
Work
Fees: Val
Issued By:
Permit Voided
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 o is work I ree to perform all work pursuant to rules governing the described construction.
Signature ~/~ /''°~ Date ~ ~ ~ e
/~ ~ ~_
Address DOUGLAS &
FR /WIRING FOR TWO ROOMS IN THE BASEMENT PER ATTACHED PLAN (reviewed the installation with the owner)
$450.00 Plan Approval $0.00 Permit Fee Paid $20.00
~/IiVL.tA Date 10/05/2000
Agent/Owner
OSHKOSH WI 54904 - 8117 Telephone Number
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