HomeMy WebLinkAbout0102710-Electric (pool)OSHKOSH
ON THE WATER
5ob Address 1943 MICHIGAN ST
Contractor HOMEOWNER
Service ~) New
Volts
Amps 0
(~) Change (~ Temp
CITY OF OSHKOSH No102710
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROBERT S/STACEY REESE
Category 612- Residential-Single FamilyAddition/R
] Type (~ Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 07/08/2003
Plan
(~) Underground
Appliances
Use/Nature of 7/8/03 pool wiring
Work
Fees: Valuation
issued By:
$600.00 Plan Approval $0.00 Permit Fee Paid $26.00
Date 7/8/03
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 1'1-22, 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 thi~o~rk I agree to};~,rform a~ork pursuant to rules governing the described construction.
Signature ~' ~.4~/¢~,~ //o, ~¢?~¢¢~,. Date "~<:712'O/~
..... -f~ ~ ' ,~gent/Owner
Address OSHKOSH
WI 5490- 6836 Telephone Number