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OSHKOSH
ON THE WATER
Job Address 3393 HARBOR BAY RD
Contractor SUBURBAN ELECTRIC INC
CITY OF OSHKOSH
No 0059766
ELECTRIC PERMIT-APPLICATION AND RECORD
Owner
JEFFRY S NIMKE
Create D;:Ite 8/21/97
SerVice Ie New
Volts 120/240
o Change
Circuits
o Temp
Category 611 - Residential-Nf!lw Single Family Wirin Plan
Type . Overhead ( ) Underground
Fixtures
I Neon Sign I Neon #
Neon Transformers #
Amps
200
Switches
Receptacles ..
Appliances
Use/Nature of
Work
ampere service
Fees: Valuation
$3,161.00
Permit Fee Paid
$85.00
Issued By:
Date 8/21/97
o . Perrtnt 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 301 N KENSINGTON DRIVE
APPLETON WI 54915 - 0000
Telephone Number 730-3838
Electric
Job Address 33Q3 HARBOR BAY RD
Owner JEFFRYS NIMKE
Category 611 - Residential-New Single Family Wirin
Service . New o Change 0 Temp
Volts 120/240 Switches
Amps 200 Fixtures
Circuits Receptacles
Appliances
Use/Nature
of Work
ampere service
Date 9/1 0/97 Type Service
Permit Number 0059766
Contractor SUBURBAN ELECTRIC INC
Create Date 8/21/97
Type . Overhead
U Neon Sign
o Underground
I Neon #
Neon Transformers #
Value $3,161.00
Inspector John Sullivan
I2SI Approved