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OSHKOSH
ON THE WATER
Job Address 3343 HARBOR BAY RD
CITY OF OSHKOSH
No 0050684
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
GERRITT REAL ESTATE
Create Date 1/29/96
Contractor
CUMINGS ELECTRIC
Category 611 - Residential-New Single Family Wirin Plan
Service
. New
Fixtures
Type r ) Overhead
I Neon :SIgn
. Underground
I Neon #
Volts
o Change
Circuits
o Temp
Amps
200
Switches
Receptacles
Neon Transformers #
Appliances
Use/Nature of New house
Work
Fees: Valuation
$2,000.00
Permit Fee Paid
$50.00
Issued By:
Date 1/29/96
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
Address
Oshkosh
WI 54901 - 0000
Telephone Number