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OSHKOSH
ON THE WATER
Job Address 808-810 HARNEY ST.
CITY OF OSHKOSH No 0053225
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner Create Date 7/3/96
Contractor SCHOMMER ELECTRIC
o Temp
Category 621 - Residential-New Duplex Wiring
Type . Overhead
Plan
Service
Ie New
o Change
Circuits
( ) Underground
I Neon #
Volts
Fixtures
I Neon Sign
Amps
Switches
Receptacles
Neon Transformers #
Appliances
Use/Nature of New Duplex
Work
Fees: Valuation
$3,800.00
Permit Fee Paid
$85.00
Issued By:
Date 7/3/96
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
WI 54901 - 0000
Telephone Number