HomeMy WebLinkAbout0101503-ElectricOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 1744 OHIO ST
Contractor HOMEOWNER
Service ~ New O Change (~) Temp
Volts
Amps 0
No101503
Owner HERBERT/KAREN HAZEN Create Date 05/15/2003
Category 612 - Residential-Single FamilyAddition/R Plan
(~) Overhead C) Underground
} Type ................................. ~
Circuits 0 Fixtures 0
Switches 0 Receptacles 0
Appliances
Use/Nature of ;FR/Remodeling the bathroom, installing an exhaust fan.
Work
Fees: Valuation
Issued By: ~
$200.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 5/15/03
[] 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/~is w~~~rform all work pursuant to rules governing the described construction.
Siena,ute Date
/ ,/' J' Agent/Owner