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0102286 E
OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 317 STERLING AVE HOMEOWNER [~ New (~ Change (~ Tamp 200 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner LEROY F/PAT A RUEDINGER Category 634- Residential-Service Change No 102286 Create Date 06/19/2003 Plan Type I© Overhead (~ Underground I Circuits 0 Switches 0 Fixtures 0 Receptacles 0 Appliances Use/Nature of 9/19/03 move meter socket Work Fees: Valuation Issued By: $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 6/19/03 Permit Voided The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the City of Oshkosh to perform said work. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address OSHKOSH WI 5490 - 4545 Telephone Number OSHKOSH ON THE WATER Job Address Contractor Service Volts Amps 317 STERLING AVE HOMEOWNER ~ New (~ Change (~ Temp 200 CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Owner LEROY F/PAT A RUEDINGER Category 634- Residential-Service Change Type (~) Overhead Circuits 0 Switches 0 No 102286 Create Date 06/19/2003 Plan ~..~_.. U n d e~'_g r_o_ .u_n_.~ ......... Fixtures Receptacles Appliances Use/Nature of 6/19/03 move meter socket Work Fees: Valuation Issued By: $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 6/19/03 _.~__.?_._e_r_m_it_V_oi_d~e_d~ The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the City of Oshkosh to perform said work. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature ~.~) ~.~* ~,~- ~,~J~~ Date Agent/Owner Address OSHKOSH WI 5490- 4545 Telephone Number