HomeMy WebLinkAbout0065679-Electric (service change) CITY OF OSHKOSH No 0065679
OSH OSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1491 WHEATFIELD WAY Owner RUSCH Create Date 8/6/98
Contractor HOMEOWNER Category 634 Residential- Service Change Plan
Service X New Change O Temp Type Overhead 0 Underground
Volts 120/240 Circuits Fixtures u Neon Sign Neon
Amps 200 Switches Receptacles Neon Transformers
Appliances
Use/Nature of V r• 1 of of 1
Work
Fees: Valuation $250.00 Plan Approval $0.00 Permit Fee Paid $15.00
issued By: A,,&„.„...,_ D 8/7/98
U 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 goveming the described construction.
Signature Date 1 Y
Agent/Owner
Address Oshkosh WI 54901 0000 Telephone Number 7-3 2 0