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� CITY OF OSHKOSH No ooss�ss
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 817 E NEW YORK AVE Owner ROBERT/JOLINDA POTTER Create Date 4/19/99
Contractor SECKAR ELECTRIC Category 612-Residential-Single Family Addition/ Plan
Service New �� Change i� Temp , Type ver ea \ � n ergroun i ;
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Volts Circuits Fixtures 1 eon ign Neon#
Amps Switches 2 Receptacles 5 Neon Transformers# `
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Appliances —---
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Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 4/22/99
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
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Address 1302 CONGRESS OSHKOSH WI 54901 -0 Telephone Number 231-2237 450-
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