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OSHKOSH ELECTRIC PERMIT - APPUCATION AND RECORD
ON THE WATER
Job Address 501 W NEVADA AVE Owner CHARLES J/KATHY WILLIAMS Create Date 10/21/98
Contractor SCHOMMER ELECTRICAL CON Category 634-Residential-Service Change Plan
Service �� New � Change � Temp Type ver ea � n ergroun
Volts 120/240 Circuits Fixtures eon ign Neon#
Amps 100 Switches Receptacles Neon Transformers#
Appliances II� III
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Use/Nature of �FI�7�ER .- f�6:Fr -- — �
Work ,
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Fees: Valuation $585.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: Date 10/30/98
�Permi oi e
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address N 164 TWO MILE ROAD APPLETON WI 54915 -9121 Telephone Number 731-2299
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ec ric erm�t or ar
Job Address 501 W NEVADA AVE Pertnit Number 0000000 Create Date 10/21/98
Owner CHARLES J/KATHY WILLIAMS Contractor SCHOMMER ELECTRICAL CON
Category 634-Residential-Service Change
Senrice New � Change � Temp Type ve ea n ergroun
Volts 120/240 Switches _ eon ign Neon#
Amps 100 Fixtures Neon Transformers#
Cfrcuits Receptacles Value 30.00
Appliances
Use/Nature . . . .
of Work
nspec ons:
Date 10/21/98 Type Service Inspector /��,(,�,L pprov
ILED 10/23/98