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G
OSHKOSH
ON THE WATER
Job Address 217 HIGH AVE
CITY OF OSHKOSH
No 83336
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner NORMAN R BOCK JR
Create Date 12/08/2000
Contractor SECKAR ELECTRIC
o Temp
Category 612 - Residential-Single Family Addition/
Type ~ ) Overhead
Plan
Service
KJ New
o Change
( ) Underground
Volts
Circuits
Fixtures
Amps
Switches
Receptacles
Appliances
Use/Nature of
Work INSTALL 20AMP CIRCUIT & RECEPTACLE FOR BASEMENT FOR WASHER(UPPER APT)
Fees: Valuation $180.00
Issued By: 3h\S
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 12/08/2000
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
AgenUOwner
Address
5920 COURTNEY PLUMMER ROAD
WINNECONNE WI 54986 - 0
Telephone Number 582-4909 home 582-478