HomeMy WebLinkAbout0088355-Electric (a/c) CITY OF OSHKOSH No88355
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1936 MICHIGAN ST. Owner Rob Bearwald Create Date 08/16/2001
Contractor HOMEOWNER Category 623 - Residential - Duplex Addition/RemodE Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits
Fixtures
Amps Switches
Receptacles
Appliances
Use /Nature of Wire new central air
Work
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: , ‘ t 1 'e✓ Date 8/16/01
n 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 goveming the described construction.
Signature j � �2 , —C -aeh6,eja.r or / Date
Agent/Owner
Address Oshkosh WI 5490 - 0000 Telephone Number