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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 83552
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1457W2NDAVE
Owner
GARRY H DECKER ETAL
Create Date 1210412000
Contractor
CUMINGS ELECTRIC
Category 612 - Residential-Single Family Additionl
Plan
Service
[) New
() Change
0 Temp
Type
K ) Overhead
( ) Underground
Volts
Circuits
Fixtures
Amps
Switches
Receptacles
Appliances
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Work
Fees: Valuation $800.00
issued By: 3ms
Plan Approval
$0.00
Permit Fee Paid
$35.00
Date 0110212001
wermlt Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
PO BOX 749 1414 COUNTY RD JJ
NEENAH
WI 54957 - 749
Telephone Number 231-5946 (Dick) 585-50