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OSHKOSH
ON THE WATER
Job Address 304 HIGH AVE
CITY OF OSHKOSH
No 0054658
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
TERRI HANSEN
Create Date 9/23/96
Contractor
RIPON ELECTRIC
Category 643 - Commercial-Addition/Remodels
Plan
Service
.. New
Volts
Circuits
Fixtures
Type . Overhead ( ) Underground
~Slgn I Neon #
Neon Transformers #
o Change
o Temp
Amps
Switches
Receptacles
Appliances
Use/Nature of
Work
of
(,
Fees: Valuation
$15,000.00
Permit Fee Paid
$162.50
Issued By:
Date 9/23/96
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
AgenUOwner
Address
OSHKOSH
WI 54901 - 0000
Telephone Number