HomeMy WebLinkAbout0057621-Electric CITY OF OSHKOSH No 0057621
OS cal SH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2931 MONTCLAIR PL Owner MIKE WUSSOW Create Date 4/22/97
Contractor HOMEOWNER Category 612 - Residential - Single Family Addition/ Plan
Service O New O Change O Temp Type • Overhead O 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 Permit Fee Paid $15.00
Issued By: Date 4/22/97
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 ork I agree to perform all work pursuant to rules governing the described construction.
Signature !�
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Agent/Owner
Address Oshkosh WI 54904 - 0000 Telephone Number