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� CITY OF OSHKOSH No 0066383
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3730 WESTERN CT Owner WILLIAM L PAULSEN Create Date 7/16/98
Contractor SCHOMMER ELECTRICAL CON Category 611 -Residential-New Single Family Wirin Plan
Service � New ` Change i� Temp � Type �ver�ead- n ergroun �
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Volts 120/240 Circuits Fixtures eon ign Neon# �
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Amps 200 Switches Receptacles Neon Transformers#
Appliances - --- — -
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Use/Nature of �fJS WIF�1A�— - ----- ---- -- --,
Work '
Fees: Valuation $2,700.00 Plan Approval $0.00 Permit Fee Paid $85.00
Issued By: Date 9/16/98
ermi oi e
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address N 164 TWO MILE ROAD APPLETON WI 54915 -9121 Telephone Number 731-2299
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