HomeMy WebLinkAbout0099670 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
1220 MOUNT VERNON ST
HOMEOWNER
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CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner DANIEL J 71PPERER
Category 612- Residential-Single Family Addition/R
Type O Overhead
No99670
Circuits 0
Switches 0
Create Date 02~03~2003
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Nature of 2/3/03 remodle bathroom
Work
Fees: Valuation
Issued By:
$4.00.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 2/3/03
[] Permit Voided I
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 1'1-22, 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 o¥'Etis w~)rk I agree to perform all work pursuant to rules governing the described construction.
Signature-~(d% ~-~ . ~-N '~'-"J~~
'-- ~j) // ACnt/Owner
Address
HOMESIDE LENDING INC
JACKSONVILLE FL 3225- 0000 Telephone Number