HomeMy WebLinkAbout0102143-Electric (service change)OSHKOSH
ON THE WATER
,Job Address 1927 HUBBARD ST
Contractor HOMEOWNER
Service [~ New
Volts 110/220
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner NICHOLE J JOHNSON
Category 634- Residential-Service Change
~)Change ~)Temp Type
Circuits 0
Switches 0
No 102143
Create Date 06/12/2003
Plan
Overhead (~ Underground
Fixtures 0
Receptacles 0
Appliances
Use/Nature of 9/12~03 service change
Work
Fees: Valuation
Issued By:
$850.00
Plan Approval
$0.00 Permit Fee Paid $40.00
Date 6/12/03
Permit Voided
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 Date
Agent/Owner
Address
OSHKOSH WI 5490 - 0000 Telephone Number
CITY OF OSHKOSH No102143
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1927 HUBBARD ST Owner NICHOLE J JOHNSON Create Date 06/12/2003
Contractor HOMEOWNER Category 634- Residential-Service Change Plan
Service ~ New (~ Change (~) Temp i Type ~ O~/e~ea~d_ ............ (~ U.nd~e~gr~_°.~n~d__
Volts 110/220 Circuits 0 Fixtures
Amps 100 Switches 0 Receptacles
Appliances
Use/Nature of i/12/03 service change
Work
Fees: Valuation
Issued By:
$850.00 Plan Approval
$0.00 Permit Fee Paid $40.00
Date 6/12/03
[] Permit Voided
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 y ~~.~./ ~ ~_~~.., Date
,~2/~ Agent/Owner
Address OSHKOSH WI 5490- 0000 Telephone Number