HomeMy WebLinkAbout0086192-Electric (remodel) CITY OF OSHKOSH No86192
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1661 MINNESOTA ST Owner MARY K HELM Create Date 04/18/2001
Contractor D &A ELECTRIC Category 623 - Residential - Duplex Addition/RemodE Plan
Service Q New Q Change Q Temp Type Q Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use /Nature of RESIDENTIAL DUPLEX
Work
Fees: Valuation 1 ,800.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: 5V\ J Date 05/22/2001
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address P 0 BOX 258 DALE WI 54931 - 258 Telephone Number (920) 779 -0448