HomeMy WebLinkAbout0068598-Electric eD CITY OF OSHKOSH No 0068598
OSH' OSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3181 BELLFIELD DR Owner PATRICIA L MATHIS Create Date 2/17/99
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition/ Plan
Service 110 New 0 Change 0 Temp Type 0 Overhead O Underground
Volts Circuits Fixtures J Neon Sign 1 Neon #
Amps Switches Receptacles Neon Transformers #
Appliances -
Use /Nature of 1 rea e •a room aun.ry room in •asemen - ' wor is o .e .one as per co.e requiremen s, any ques ion call prior to doing
Work work.
Fees: Valuation $165.00 Plan Approval $0.00 Permit Fee Paid $15.00
Issued By: Date 2/19/99
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 performanc - OAP ork I agree to perform all work pursuant to rules governing the described construction.
Signature / / / dor Date /99
Agent/Owner °°° 777 (/
Address OSHKOSH WI 0 - 0000 Telephone Number 233 -5049