HomeMy WebLinkAbout0100458-Electric (interior remodel)OSHKOSH
ON THE WATER
.lob Address 126 W 9TH AVE
Contractor HOMEOWNER
Service IQ) New
Volts 120/240
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
Category
No 100458
DANIEL BERKEN Create Date 03/27/2003
612 - Residential-Single Family Addition/Ret Plan
O Change ~)Temp Type
Overhead (~ Underground
Circuits 0 Fixtures 0
Switches 0 Receptacles 0
Appliances
Use/Nature of SFR / Interior Remodel (900 Sq. Ft.)
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid $60.00
Date 3/27/03
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 governing the described construction.
Signature Date
Agent/Owner
Address DANIEL BERKEN MENASHA WI 5495 - 0000
Telephone Number
OSHKOSH
ON THE WATER
Job Address 126 W 9TH AVE
Contractor HOMEOWNER
Service ~) New O Change (~ Temp
Volts 120/240
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
No 100458
Owner DANIEL BERKEN
Category 612. Residential-Single FamilyAddition/R
I Type
Circuits 0
Switches 0
(~) Overhead
Create Date 03/27/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR / Interior Remodel (900 Sq. Ft.)
Work
IssuedFees: Valuation}By: ~~-'-~"~'2~ $0.00
,000.00 Plan Approval
;[~'~,~ '-- - - [] Permit Voided
Permit Fee Paid $60.00
Date 3/27/03
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 governing the described construction.
Signature _ _Date
Agent/Owner
Address DANIEL BERKEN MENASHA WI 5495 - 0000
Telephone Number