HomeMy WebLinkAbout0100903-ElectricOSHKOSH
ON THE WATER
.lob Address 3342 LOUISE CT
Contractor HOMEOWNER
Service ~) New
Volts 110/220
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner CHAD/TONYA HUISMAN
Category 611 - Residential-New Single Family Wirin
Change O Tamp I Type (~) Overhead
Circuits 0
Switches 0
No 100903
Create Date 04~22~2003
Plan
C) Underground
Fixtures
Receptacles
Appliances ~es
Use/Nature of U22/03 NSF
Work
Fees: Valuation $4,300.00
Issued By: ......
Plan Approval $0.00 Permit Fee Paid $105.00
[] Permit Voided
Date
4/22/03
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 ague to perform all work pursuant to rules governing the described construction.
Signature ,,,~ ('"~ ~/%. fT-;~ ,~ ~-~,~"'~"~'~'~"-~ .."'~ Date
Agent/Owner
Address CHADFFONYA HUISMAN OSHKOSH WI 5490 - 7208 Telephone Number