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OSHKOSH
ON THE WATER
Job Address 511 BALDWIN AVE
CITY OF OSHKOSH
No 98332
ELECTRIC PERMIT. APPLICATION AND RECORD
Service
0 New
0 Change
OWner EILEEN VOSKUIL Create Date 10/29/2002
Category 612 - Residential-Single Family Addition/R Plan
0 Temp Type 0 Overhead 0 Underground
Circuits ~ Fixtures -----2
Switches 2 Receptacles ------1
Contractor
SECKAR ELECTRIC
Volts
Amps
0
Appliances
Use/Nature of FRI Remodel bathroom- Replace exhaust fan, add 20amp circuit & bath receptacle.
Work
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Fees: Valuation
Issued By:
Date 11/01/2002
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described constructon.
Signature
Date
AgenUOwner
Address
5920 COURTNEY PLUMMER RD
WINNECONNE WI 54986 - 0
Telephone Number (920) 582-4909