HomeMy WebLinkAbout0102671-Electric (wire garage addition)OSHKOSH
ON THE WATER
Job Address t212 ALGOMA BLVD
Contractor HOMEOWNER
Service ~ New
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Appliances
Owner WESLEY/BARBARA SCHWARTZ
No102671
Category 612- Residential-Single FamilyAddition/R
(~) Change O Temp Type (~ Overhead
Circuits 0
Switches 0
Create Date 07/07/2003
Plan
(~ Underground
Fixtures
Receptacles
Use/Nature of 7~7~03 wire garage addition
Work
Fees: Valuation
Issued By:
$700.00
Plan Approval
$0.00 Permit Fee Paid $30.00
Date 7/7/03
[] 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 pe/~orm all wo~ pursuant to rules governing the described construction.
Signature ,~ L/~1~=,~_~x~' ~,~' Date
0 (~kgenfCOwn er
Address OSHKOSH
WI 5490- 2702 Telephone Number