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HomeMy WebLinkAbout0059676-Electric � CITY OF OSHKOSH No oosss�s � OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 406 W 7TH ikVE Owner PAUL GROSKREUTZ JR Create Date 8/18/97 Contractor HOMEOWNER Category 612-Residential-Single Family Addition/ Plan Service New � Change � Temp Type ver ea n ergroun Volts Circuits Fixtures eon ign Neon# Amps Switches Receptacles Neon Transformers# Appliances UselNature of , Work Fees: Valuation $100.00 Permit Fee Paid $10.00 Issued By: Date 8/18/97 ermi oi e 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 is work I agree to perform all work pursuant to rules governing the described construction. Signature Date � AgenUOwner Address OSHKOSH WI 54901 - 0000 Telephone Number 426-2610