HomeMy WebLinkAbout0101254-ElectricOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 900 HUNTINGTON PL
Contractor HOMEOWNER
Service ~) New (~ Change (~ Tamp
Volts
Amps 0
No 101254
Owner KEVIN T/SUSAN D MOODIE
Category 612- Residential-Single Family Addition/R
Type
Circuits 0
Switches 0
Overhead
Create Date 05/05~2003
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of 5/5~03 wire garge addition
Work
Fees: Valuation
Issued By:
$800.00 Plan Approval
$0.00 Permit Fee Paid $35.00
Date 5/5/03
[] Permit _V.0_!d_~
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 agree to perform all work pursuant to rules governing the described construction.
Signature /~4~/~"/~"~'"'~ ''''~''- ~~r, Date
Agent/Owner
Address <:2~¢z2¢--~-' OSHKOSH Wi 5490- 6237 Telephone Number