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HomeMy WebLinkAbout0051113-Electric (a/c) e OSHKOSH ON THE WATER Job Address 318 HUDSON AVE CITY OF OSHKOSH No 0051113 ELECTRIC PERMIT - APPLICATION AND RECORD Owner DOUGLAS/DOROTHY JENSEN Create Date 3/5/96 Contractor B. a.Electric Services Category 612 - Residential-Single Family Addition/ Plan Service . New o Change Circuits o Temp C) undergroun~ ---1 I Neon # Volts Fixtures Amps Switches Receptacles Neon Transformers # Appliances Use/Nature of Air condo Work Fees: Valuation $150.00 Permit Fee Paid $15.00 Issued By: Date 3/5/96 U Permit VOided I AgenUOwner I I I ______J In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Address DOUGLAS/DOROTHY JENSEN OSHKOSH WI 54901 - 4912 Telephone Number