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OSHKOSH
ON THE WATER
Job Address 1540 GALWAY CT
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No 0053628
Owner
TEMPO DEVELOPMENTS
Create Date 7/29/96
Contractor CUMINGS ELECTRIC
Service . New o Change
Volts Circuits
Amps Switches
Appliances ~Ir cono.
Category 612 - Residential-Single Family Addition/ Plan
o Temp
Fixtures
( ) Underground
I Neon #
Receptacles
Neon Transformers #
Use/Nature of
Work
Fees: Valuation
$100.00
Pennit Fee Paid
$10.00
Issued By:
Date 7/29/96
U Permit 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
Oshkosh
Address
WI 54901 - 0000
Telephone Number 231-4920