HomeMy WebLinkAbout0056180-Electric � CITY OF OSHKOSH No ooss�ao
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OSH OSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 406 W 7TH AVE Owner PAUL GROSKREUTZ JR Create Date 12/19/96
Contractor HOMEOWNER Category 611 -Residential-New Single Family Wirin Plan
Service New � Change � Temp Type ver ea n ergroun
Volts 120/240 Circuits Fixtures eon ign Neon#
Amps 100 Switches Receptacles Neon Transformers#
Appliances
Use/Nature of
Work
Fees: Valuation $2,000.00 Permit Fee Paid $50.00
Issued By: Date 12/19/96
ermi oi e
The undersigned,in applying for an Electric Pertnit 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 descrlbed in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the pertormance of 's work I agree to perform all w pursuant to rules governing the described construction.
Signature ' Date
AgenUOwner
Address OSHKOSH WI 54901 - 0000 Telephone Number 426-2610