HomeMy WebLinkAbout0061875-Electric CITY OF OSHKOSH No 0061875
OSH OSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2725 MONTCLAIR PL Owner DAN AND LINDA BURDICK Create Date 1/6/98
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition/ Plan
Service New 0 Change O Temp Type • Overhead O Underground
Volts Circuits Fixtures Neon Sign Neon #
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Amps Switches Receptacles Neon Transformers #
Appliances
Use /Nature of install can lights in the basement.
Work
Fees: Valuation $100.00 Plan Approval $0.00 Permit Fee Paid $10.00
Issued By: Date 1/6/98
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 of this work I agre to perform all work pursuant to rules governing the described construction.
Signature Por-A)kr-A Date
Agent/Owner
Address OSHKOSH WI 54904 - 8311 Telephone Number 426 -3782
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