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0087549-Electric (repair service)
t a CITY OF OSHKOSH No 87549 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1933 SIMPSON ST Owner DANIEL E BURDICK Create Date 06/14/2001 Contractor ACE ELECTRIC Category 612 - Residential - Single Family Addition /R Plan Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground Volts Circuits Fixtures Amps Switches Receptacles Appliances Use /Nature of REPAIR & RE- INSTALL ELECTRIC SERVICE FROM STORM DAMAGE Work Fees: Valuation $425.00 Plan Approval $0.00 Permit Fee Paid $20.00 �w �� Issued By: �_ „.:: Date 07/12/2001 Ili Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 744 MT VERNON ST OSHKOSH WI 54901 - 0 Telephone Number (920) 420 -5444 • APPLICATION FOR ELECTRICAL PERMIT ff r Date Z ® / �e `� E(Q � 1 '' c-- Electrical Con- tractor, herewith make application for a permit to install the following electrical wires & apparatus in the premises of % '_ rd kt' e No. 1933 street .. • . ,-1 111, _ New Service Ta r vn • Qwta _ Furnace Change Servi Electric Sign Temp. Service Motors Range Air Conditioner Water Heater Gas Pumps Garbage Disposal Fixtures Dishwashers Switches Receptacles Fan or Blower Circuits Date Issued Mast - .AEI= " -n Estimated Cost Z � t ©�