HomeMy WebLinkAbout0081464-Electric (fireplace) CO/ CITY OF OSHKOSH No 0081464
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 75 ROLLING GREEN CIR Owner MORIS J. / VICKI L. ARONSON Create Date 09/25/2000
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change O Temp Type • Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use /Nature of SFR / ASSOCIATED WIRING FOR A FIREPLACE INSTALATION
Work
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 09/25/2000
0 Permit Voided 1
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 lgree to perform all work pursuant to rules goveming the described construction.
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Signature ' J � ,( �''�� � -� Date '/770 0
Agent/Owner
Address MORIS J. / VICKI L. ANDERSON OSHKOSH WI 54902 - 0000 Telephone Number