HomeMy WebLinkAbout0101197-Electric (garage)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 1417 HAZEL ST
Contractor HOMEOWNER
Service ~ New (~) Change (~) Tamp
Volts
Amps 0
Owner
Category
]
Circuits
Switches
No101197
JOHN J/CHERIE A GIESFELDT Create Date 05/02/2003
612 - Residential-Single Family Addition/R Plan
Type (~ Overhead .
0 Fixtures
0 Receptacles
Appliances
Use/Nature of 512103 wire garage
Work
Fees: Valuation
Issued By:
$550.00 Plan Approval
$0.00 Permit Fee Paid $25.00
Date 5/2/03
[] 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 I e/~ree to perform all work pursuant to rules governing the described construction.
Signature ,~ ~ ~~~-"~- Date
~ U ~gent/Owner
Address OSHKOSH WI 5490- 3160 Telephone Number