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101355
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date05/01/2003
1245 HERITAGE TRLMICHAEL/KRISTI DOMER
ContractorZIMMER ELECTRIC LLCCategory612 - Residential-Single Family Addition/RemodelPlan
ServiceTypeOverheadUnderground
NewChangeTemp
VoltsCircuits0Fixtures0
Amps0Switches0Receptacles0
Appliances
Use/Nature of SFR/ Remodeling the kitchen.
Work
Plan Approval$0.00
Fees: Valuation$600.00Permit Fee Paid$25.00
Issued By:Date05/08/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
400 E SCOTT STOMROWI549630920-685-2387
Address-Telephone Number