HomeMy WebLinkAbout1997-Electric (lower level)CITY OF OSHKOSH No 0056635
OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1175 MARICOPA DR Owner ROBERT A BOEDER Create Date 1/29/97
Contractor HOMEOWNER Category 611 -Residential-New Single Family Wirin Plan
Service New ~ Change 0 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
erm of e
Date 1 /29/97
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 underelgned, hereby acknowledges per Clty 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 I agree to orm all work pursuant to rules governing the described construction.
Signature Date 1~ ~~,,,, g'~
5~~~7 ~. c.~SkC~/~ Agent/Owner
Address -ROBC~€ fk~AE~B~&• OSHKOSH WI 54904 _ 8118 Telephone Number Z~_ r~7a„