HomeMy WebLinkAbout0055966-Electric C!D CITY OF OSHKOSH No 0055966
OSH' OSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2911 MONTCLAIR PL Owner RUSCH HOMES Create Date 12/5/96
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition/ Plan
Service le New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits Fixtures Neon Sign Neon #
Amps Switches Receptacles Neon Transformers #
Appliances
Use/Nature of Finish the lower level.
Work
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $15.00
Issued By: Date 12/5/96
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 perfo o�f this work I agree to perform all work pursuant to rules governing the described construction.
Signature of t �. --s Date
cDp___,C 9
Agent/Owner /
Address Oshkosh WI 54904 - 0000 Telephone Number ( .9a5 - --0 ( .9a5 - --031 �--031 b