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0081672-Electric (code corrections)
CITY OF OSHKOSH No 0081672 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 911 STARBOARD CT Owner DAVID A/DAWN M OLSEN Create Date 09/25/2000 Contractor VAN ERT ELECTRIC Category 612 - Residential - Single Family Addition /R Plan Service New 0 Change 0 Temp Type 0 Overhead 0 Underground Volts Circuits Fixtures Amps Switches Receptacles Appliances Use/Nature of Work Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00 Issued By: S tyl S Date 10/02/2000 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Address 1600 BADGER RD Agent/Owner KAUKUANA WI 54310 - 0 Telephone Number 715 - 845-4308 09/25/2000 09:56 19206856116 VAN ERT ELECTRIC COM PAGE 03 I oast & Permit Application VAN ERT ELECTRIC OF OSHKOSH 920- 233-MW Fax 920 - 68x3054 Permit ics"M Work card inspection Todays Date: p Building Address: City C.) Town Villap Builder /OVioner R e- 37 e / a, c -. Job Number: Date i on is needed: D p © 9 a 6TIne' Will call: OCCUPANCY: Residential: Commercial: Industrial: Type of i on: R h4n: Final: Re4 on: Tem C New: O /H: U /G: Single Three Phase: Volts: Am Service: R h4n: Final: R94 on: Called in by Office: Electrician: Mailed: Fax: Date & Time: Permit Fees $ v Valuation $ 0 Copy to: File: I Power Company: Other. Our contact person for this project is h, , 09/25/00 MON 09:55 [TIC /RX NO 76551 inspections: Date 09/26/2000 Type Final 9:13 AM No Time Inspector KEVIN BENNER Approved Electric Permit Work Card Job Address 911 STARBOARD CT Permit Number 81672 Create Date 09/25/2000 Owner DAVID A/DAWN M OLSEN Contractor VAN ERT ELECTRIC Category 612 - Residential - Single Family Addition /R Service New O Change Temp N/A Type 0 Overhead O Underground O N/A J Volts Circuits Fixtures Amps Switches Receptacles Fee $20.00 Value $500.00 Appliances Use /Nature CORRECT CODE VIOLATIONS of Work inspections: Date 09/26/2000 Type Final 9:13 AM No Time Inspector KEVIN BENNER Approved