HomeMy WebLinkAbout0083837-Electric (siding) (D CITY OF OSHKOSH No83837
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 357 WINDINGBROOK DR Owner THOMAS USUSAN K HASENSTEIN Create Date 01/26/2001
Contractor HOMEOWNER Category 612 Residential Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use/Nature of In association with siding done by Pat Wong. EIV form signed by homeowner
Work
Fees: Valuation $100.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: Date 01/26/2001
n 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 1 agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address Oshkosh WI 5490 7883 Telephone Number