HomeMy WebLinkAbout0100140-ElectricOSHKOSH
ON THE WATER
,Job Address 412 W 11TH AVE
Contractor HOMEOWNER
Service IQ) New
Volts 110/220
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WILLIAM/CASSAND FRITZ
Category 612- Residential-Single Family Addition/Ret
Change (~) Temp Type I(~) Overhead
Circuits 0
Switches 0
No 100140
Create Date 03/11/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of 3/11/02 service change, hot tub, bathroom
Work
Fees: Valuation
Issued By:
$1,500.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Date 3/11/03
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 - 6414 Telephone Number 920-236-8799
OSHKOSH
ON THE WATER
JobAddress 412W11THAVE
Contractor HOMEOWNER
Service ~) New
Volts 110~220
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WILLIAM/CASSAND FRITZ
Category 612- Residential-Single Family AdditiontR
O Change (~ Tamp I Type (~ Overhead
Circuits 0
Switches 0
No 100140
Create Date 03/11/2003
Plan
C) Underground
Fixtures
Receptacles
Appliances
Use/Nature of 3/11/02 service change, hot tub, bathroom
Work
Fees: Valuation
Issued By:
$1,500.00
Plan Approval
$0.00 Permit Fee Paid $60.00
Date 3/11/03
[] Permit Voided
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned an'd 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 agr~~ to perform all work pursuant to rules governing the described construction.
Signature ~/ ~'~~-"~ ..... Date
Agent/Owner
Address OSHKOSH WI 5490- 6414 Telephone Number 920-236-8799