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o
OSHKOSH
ON THE WATER
Job Address 3030 HUNTERS PL
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No 0053625
Owner THOMAS N RUSCH Create Date 7/29/96
Category 612 - Residential-Single Family Additio~/ Plan
o Temp Type . Overhead ( ) Underground
Fixtures I Neon sign I Neon #
Receptacles Neon Transformers #
Contractor CUMINGS ELECTRIC
Service Ie New o Change
Volts Circuits
Amps Switches
Appliances ~Ir condo
Use/Nature of
Work
Fees: Valuation
$100.00
Permit 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 THOMAS N RUSCH
WI 54904 - 0000
Telephone Number