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OSHKOSH
ON THE WATER
Job Address 1215 HURON CT
CITY OF OSHKOSH
No 85188
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CAROLE F CARLSON
Create Date 04/06/2001
Contractor
SECKAR ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
p New
o Change
o Temp
Type 0 Overhead
o Underground
Volts
Circuits
Fixtures
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR / GAZEBO WIRING PER CORRECTION NOTICE
Work
Fees: Valuation $300.00
Issued By: 3kY) S
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 04/10/2001
o 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
Address
5920 COURTNEY PLUMMER ROAD
WINNECONNE WI 54986 - 0
Telephone Number fax 582-4909 home 582-,