HomeMy WebLinkAbout0093389-Electric (pool) g',I CITY OF OSHKOSH No93389
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2570 SHERIDAN ST Owner JERRY N /MARY M JOHNSON Create Date 04/03/2002
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use /Nature of 4/3/02 pool wireing
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By:
Date 4/3/02
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 pe k pur nt to rules governing the described construction.
Signature 1— 3 D 2_
," Date
Agent/Owner
Address OSHKOSH WI 5490 - 0715 Telephone Number