HomeMy WebLinkAbout0100100-Electric (service change)OSHKOSH
ON THE WATER
,Job Address 685 W 9TH AVE
Contractor HOMEOWNER
Service IQ) New
Volts 110/220
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SCOTT LANENDY J BAURAIN
Category 634- Residential-Service Change
(~)Change (~)Temp Type
Circuits 0
Switches 0
No 100100
Create Date 03/07/2003
Plan
Overhead (~ Underground
Fixtures 0
Receptacles 0
Appliances
Use/Nature of 3/7/03 service change
Work
Fees: Valuation
Issued By:
$900.00
Plan Approval
$0.00 Permit Fee Paid $40.00
Date 3/7/03
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 of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address
OSHKOSH WI 5490 - 6369 Telephone Number
OSHKOSH
ON THE WATER
Job Address 685 W 9TH AVE
Contractor HOMEOWNER
Service ~) New
Volts 110/220
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner SCOTT L/WENDY J BAURAIN
Category 634- Residential-Service Change
Change (~ Temp Type (~) Overhead
Circuits 0
Switches 0
No100100
Create Date 03/07/2003
Plan
~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of :~/7/03 service change
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval $0.00 Permit Fee Paid $40.00
Date 3/7/03
[] 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 of this work I agree to perform all work pursuant to rules governing the described construction.
Agent/Owner
Address OSHKOSH WI 5490- 6369 Telephone Number