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OSHKOSH
ON THE WATER
Job Address 1144 MERRILL ST
CITY OF OSHKOSH
No 0052683
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
LESLIE A LADWIG
Create Date 4/4/96
Contractor WITZKE ELECTRIC
Category 612 - Residential-Single Family Addition/
Plan
Volts
Fixtures
Type . Overhead
I Neon Sign
( ) underground
I Neon #
Ie New
o Change
Circuits
o Temp
Service
Amps
Switches
Receptacles
Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Valuation
$4,300.00
Permit Fee Paid
$85.00
Date 6/6/96
Issued By:
U Permit VOided \
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Date
Signature
Agent/Owner
Address LESLIE A LADWIG
OSHKOSH
WI 54901 - 3756
Telephone Number