HomeMy WebLinkAbout0065977-Electric (a/c) CITY OF OSHKOSH No 0065977
OSH' OSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1822 SIMPSON ST Owner REUBEN & VERA BLOEDOW LIFE EST Create Date 8/21/98
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition/ Plan
Service New 0 Change 0 Temp Type • Overhead 0 Underground
Volts 240 Circuits Fixtures I J Neon Sign Neon #
Amps 30 Switches Receptacles Neon Transformers #
Appliances
Use /Nature of A/C WIRING
Work
Fees: Valuation $130.00 Plan Approval $0.00 Permit Fee Paid $15.00
issued By: ApiSZa , Date 8/21/98
(+ 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 performan •_ • work I agree to pe orm all work pursuant to rules veming the described construction.
Signature CY71. A,Ati � Date
Agent/Owner
Address REUBEN & VERA BLOEDOW LIFE EST OSHKOSH WI 54901 - 6843 Telephone Number
c5.t� ^ v.-- La_
Electric Permit Work Card
Job Address 1822 SIMPSON ST Permit Number 0065977 Create Date 8/21/98
Owner REUBEN & VERA BLOEDOW LIFE EST Contractor HOMEOWNER
Category 612 - Residential - Single Family Addition /R
Service New Q Change 0 Temp Type O Overhead 0 Underground
Volts 240 Switches u Neon Sign Neon #
Amps 30 Fixtures Neon Transformers #
Circuits Receptacles Value $130.00
Appliances
/AC
Use /Nature A/C WIRINU
of Work
Inspections:
Date 8/21/98 Type Final Inspector KEVIN BENNER N Approved
INSPEU;1 IUN KEQUbS 1 ED FUR 11:00 AM 8/24/98