HomeMy WebLinkAbout0065978-Electric (service change) CITY OF OSHKOSH No 0065978
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 634 - Residential - Service Change Plan
Service 0 New • Change O Temp Type • Overhead O Underground
Volts 120/240 Circuits Fixtures u Neon Sign Neon #
Amps 100 Switches Receptacles Neon Transformers #
Appliances
Use /Nature of 100 U.H. SEVICE CHANUE
Work
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: Aociwiluizzei.i Date 8/21/98
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 this ork I agree to perform all work pursuant to rules gove�' g the escribed construction.
Signature c/d"L s-
Date � �?
gent/Owner � fJ
Address REUBEN & VERA BLOEDOW LIFE EST OSHKOSH WI 54901 - 6843 Telephone Number