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HomeMy WebLinkAbout0092175-Electric (receptacle) CITY OF OSHKOSH No92175 OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD ON THE WATER Job Address 306 SARATOGA AVE Owner DAVID M CECH H RASMUSSEN Create Date 01/10/2002 Contractor MY ELECTRIC CORP. Category 612 Residential Single Family Addition /R Plan Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground 1 Volts Circuits Fixtures Amps Switches Receptacles Appliances Use /Nature of SFR/ 4 -wire electric dryer rcpt. Work Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00 Issued By: TM Date 01/10/2002 Permit Voided In the performance of this work I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address 1512 RUGBY ST OSHKOSH WI 54902 6360 Telephone Number (920) 231 -0707