HomeMy WebLinkAbout0094271-Electric (4116#11-* CITY OF OSHKOSH No94271
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1249 WHEATFIELD WAY Owner GERALD C /ANN P HERBST Create Date 05/13/2002
Contractor HOMEOWNER Category 612 Residential Single Family Addition /R Plan
Service 0 New O Change O Temp Type O Overhead O Underground
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use /Nature of 5/13/02 additon remodle
Work
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: Date 5/13/02
11 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 perf all ork pursua t to rules governing the described construction.
Signature e° Date 6( 6 t/Owner
Address GERALD C /ANN P HERBST OSHKOSH WI 5490 7401 Telephone Number