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0091385-Electric
(1) CITY OF OSHKOSH No 91385 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1200 S KOELLER ST Owner THE COPPS CORPORATION Create Date 10/31/2001 Contractor GIRAFFE ELECTRIC II INC Category 643 - Commercial- Addition /Remodels Plan Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground Volts 120/208 Circuits 40 Fixtures 40 Amps 20 Switches 10 Receptacles 20 Appliances Use /Nature of COMM/ COPPS/ Remodel: Produce, deli, bakery, meat dept., frozen food, liquor dept., natural food dept.:Replace refrigerated cases, Work existing refrig. racks with 3 new and add flourescent lights to deli.Giraffe Electric - Fees: Valuation $60,000.00 Plan Approval $0.00 Permit Fee Paid $330.00 Issued By: Date 11/16/2001 11 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 8123 W GREENFIELD AVE WEST ALLIS WI 53214 - 0 Telephone Number 414 - 774 -6040 Nov 02 01 07:39a Code Enforcement 920 - 236 -5084 p.12 D ivisi on of Inspection Services 215 Chur Avenue P.O. Box 1130 CJJ Oshkosh, wi 51903 -1130 on inr.,A /MFR Fax (920) 236-5084 Phone (020) 236 -5046 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. I Incomplete applications will not be processed. CoppS d_ C_.. DATE I /b / a 0 JOB ADDRESS IAOO S. Kder Rk_ OWNER 60(.4(4,9 S CONTRACTOR GIRet. - Pre— E(-eej n C. 1T) 'Nil!". CIRCLE ALL APPLICABLE USE CATEGORY SINGLE FAMILY DUPLEX MULTI - FAMILY RENTAL COMMERCIAL INDUSTRIAL SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE TYPE OVERHEAD UNDERGROUND NOT APPLICABLE NO. OF FIXTURES 4V SWITCHES /® RECEPTACLES (,© CIRCUITS AMPS aQ VOLTS / / o PHASE 3 CHECK ALL APPLICABLE RANGE WATER HEATER GARBAGE DISPOSAL DRYER DISHWASHER FAN OR BLOWER FURNACE A/C ELECTRIC SIGN MOTORS GAS PUMPS OTHER DESCRIPTION OF ALL WORK BEING DONE / 1 1 /_/ k i I 40 ^ t /. //l . i :! . M 41 11 /.ice. ✓ •/_. M . .� MARO /L 1 _I_ • Submit payment with application. Failure to pay within 30 days will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. VALUE (Including labor and all materials including light fixtures) $ 610,42010 de MASTER ELECTRICIAN , " r� IOW 4 Lvi,)