HomeMy WebLinkAbout0096174-Electric It;(D CITY OF OSHKOSH No96174
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2381 SHORE PRESERVE DR Owner TONY LITJENS Create Date 07/26/2002
Contractor HOMEOWNER Category 611 - Residential -New Single Family Wirin Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 110/220 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Appliances
Use /Nature of 7/26/02 NSF ower occupied residence
Work
Fees: Valuation $7,500.00 Plan Approval $0.00 Permit Fee Paid $150.00
Issued By: Date 7/26/02
Permit Voided j
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 . this world agr - 16p- orm all work pursuant to rules governing the described construction. ^�,
Signature • Date /- 2 6 O 'Z
Agent/Owner
Address Oshkosh WI 5490 - 0000 Telephone Number