HomeMy WebLinkAbout0083509-Electric C:D CITY OF OSHKOSH No83509
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2330 MINERVA ST Owner BRADLEY/TRACY CAUFFMAN Create Date 12/27/2000
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use /Nature of SFR / BASEMENT REMODEL FOR THE ADDITION OF TWO BEDROOMS
Work
Fees: Valuati • _ X 0.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: a_.!] ) ,„ Date 12/27/2000
III " � 0 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 Ap ,- ee to perform all work pursuant to rules goveming the described construction. 276.-
Signature <,� j f �� �` Date /7 ,, ;y
� Agent/Owner
Address OSHKOSH WI 5490 - 1721 Telephone Number