HomeMy WebLinkAbout0092167-Electric (basement) I CITY OF OSHKOSH No92167
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3180 MOCKINGBIRD WAY Owner PAUL H, KATHY A / WEST Create Date 01/10/2002
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition /R Plan
Service p New O Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits
Fixtures
Amps Switches Receptacles
Appliances
Use/Nature of 1/10/02 rewire basement lights
Work
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 1/10/02
h Permit Voided I
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 l agree perform all work pursuant to rules goveming the described construction.
Signature _ o Date F" /0 '' 0 'L
Agent/Owner
Address 5490 - 0000 Telephone Number 426 -2045