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0091090-Electric
CITY OF OSHKOSH No91090 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 972 E SUNNYVIEW RD Owner LAKEVIEW MOBILE HOME PARK Create Date 10/16/2001 Contractor HOEHNE ELECTRIC _ Category 643 - Commercial- Addition /Remodels Plan Service C New 0 Change C Temp Type 0 Overhead • Underground Volts 240 Circuits Fixtures Amps 100 Switches Receptacles Appliances Water Heater Use /Nature of INTERIOR REMODELING FOR AN OFFICE / GARAGE Work Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $75.00 Issued By: Kny1 Date 11/05/2001 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 621 E ONTARIO ST OMRO WI 54963 - 0 Telephone Number (920) 685 -0199 M 920 -42( ® Division Of Inspection Services 215 Church Avenue P.Q. Sox 1130 • CNEEWEI F ahkosh. I 5490301 Fax (92 40 "0) "236 =5084 130 Phone (920) 236 -5046 i ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. DATE // Q0 JOB ADDRESS 01 G SU 'ih, U OWNER CONTRACTOR a ro, / _i " CIRCLE ALL APPLICABLE USE CATEGORY SINGLE FAMI Y DUPLEX MULTI - FAMILY RENTAL COMMERCIAL INDUSTRIAL SERVICE NEW TEMPORARY NOT APPLICABLE TYPE OVERHEAD UNDERGROUND NOT APPLICABLE NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS AMPS/ VOLTS/ PHASE CHECK ALL APPLICABLE RANGE WATER HEATER )( GARBAGE DISPOSAL DRYER DISHWASHER - OR BLOWER FURNACE A/C ELECTRIC SIGN MOTORS GAS PUMPS OTHER DESCRIPTION OF ALL-WORK BEING DONE © E 1 Gam. - mac{ _ui ; e4 , 112 • 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 (Includin d all materials including light fixtures) $ D.Oa .� WASTER BLECTRIC t ,; ; ;����� -- .2de � TOOL) 3Ta13aId augaoH 6660589 OZ6 XVd E5:811 [SIRS TO/VO /IT Electric Permit Work Card Job Address 972 E SUNNYVIEW RD Permit Number 91090 Create Date 10/16/2001 Owner LAKEVIEW MOBILE HOME PARK Contractor HOEHNE ELECTRIC Category 643 - Commercial- Addition /Remodels Service p New Q Change 0 Temp • N/A Type 0 Overhead • Underground 0 N/A Volts 240 Circuits Fixtures Amps 100 Switches Receptacles Fee $75.00 Value $3,000.00 Appliances Water Heater Use /Nature INTERIOR REMODELING FOR AN OFFICE / GARAGE of Work Inspections: Date 12/20/01 Type Final Inspector Kevin Benner u Approved 9:11 pm Re- Inspect Electric Permit Work Card Job Address 972 E SUNNYVIEW RD Permit Number 91090 Create Date 10/16/2001 Owner LAKEVIEW MOBILE HOME PARK Contractor HOEHNE ELECTRIC Category 643 - Commercial- Addition /Remodels Service p New O Change 0 Temp • N/A Type 0 Overhead • Underground 0 N/A Volts 240 Circuits Fixtures Mips 100 Switches Receptacles Fee $75.00 Value $3,000.00 Appliances Water Heater Use /Nature INTERIOR REMODELING FOR AN OFFICE / GARAGE of Work Inspections: Date 11/2/01 Type Rough In Inspector Kevin Benner L✓j Approved 7:52 AM key is on top of the light fixture facing Cty A Date 11/13/01 Type Service Inspector Kevin Benner HI Approved 12:57 PM SERVICE PANEL REPLACEMENT NOT APPROVED / called the E.C. , reviewed violations Date 11/14/01 Type Service Inspector Kevin Benner L✓j Approved 11/13/01 FIELD REQUEST IN THE PM FAXED TO WPS 11/14/01, MAILED 11/19/01 Date 12/19/01 Type Final Inspector Kevin Benner Li Approved 7:14 AM key is in the old W\P recptacle by the service door NOT APPROVED \ Reverse polarity on shop rec. called the E.C.