HomeMy WebLinkAbout0069345-Electric CITY OF OSHKOSH No 0069345
OSH OSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2121 MINERVA ST Owner MIKE LA PORTE Create Date 3/30/99
Contractor HOMEOWNER Category 612 - Residential- Single Family Addition/ Plan
Service le New 0 Change 0 Temp Type 0 Overhead • Underground
Volts Circuits Fixtures Li Neon Sign Neon #
Amps Switches Receptacles Neon Transformers #
Appliances
Use/Nature of SFR / NBA/ GARAGE WIRING
Work
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $15.00
Issued By: Date 3/30/99
( I 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 • - rform - ork pursuant to rules governing the described construction.
Signature ' ,� Date
Agent/Owner
Address OSHKOSH WI 54901 - 1716 Telephone Number 233 -8869