HomeMy WebLinkAbout1999-ElectricCITY OF OSHKOSH No 0068038
OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1215 MARICOPA DR Owner JEFFREY H b ANN STARK Croate Date 1/7/99
Contractor HOMEOWNER Category 612 - Residsntia6Single Family Addition/ Plan
Service New Q Change ~ Temp Typs e a n ergroun
Volts Circuits Fixtures eon ~gn Neon
Amps Switches Receptacles Nson Trensformere
Appliances
UselNature of
Work
Fees: Valuation
Issued By: ~, ~
$1,500.00 Plsn Approval $0.00
emt o
The undersigned, in applying for an Elsctrtc Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the underoigned, hereby acknowledges per City iNunlcipal 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 penTorrn said work.
In the performance this work I agree t pertorm all work pursuant to rules governing the described construction.
Signature Date ~'
Agent/Owner
Permit Fee Paid $50.00
Date 1 /7/99
Address JEi=FREY H & ANN STARK OSHKOSH WI 54904 - 8120 Telephone Number