HomeMy WebLinkAbout0063232-Electric la) CITY OF OSHKOSH No 0063232
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1300 WHEATFIELD WAY Owner TIMOTHY O /ANN M MATAKAS Create Date 4/9/98
Contractor HOMEOWNER Category 612 Residential Single Family Addition/Re Plan
Service 0 New 0 Change 0 Temp Type Overhead Q Underground
Volts Circuits Fixtures I—J Neon Sign Neon
Amps Switches Receptacles Neon Transformers
Appliances
Use/Nature of SFR/ Electrical work for finishing basement as per plan submitted.
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 4/9/98
I_ 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 TIMOTHY O /ANN M MATAKAS OSHKOSH WI 54904 0000 Telephone Number