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Contractor ARROW ELECTRIC OF OSHKOSH Category 634-Residential-Service Change Plan
Service New � Change � Temp � Type � Overhead � Underground F'
Volts Circuits Fixtures Neon Sign , Neon#
Amps Switches Receptacles Neon Transformers#
Appliances
Use/Nature of FR/SERVICE CHANGE
Work
Fees: Valuation $850.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: Date 11/01/1999
� Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address P O BOX 3960 OSHKOSH WI 54903 -3960 Telephone Number 426-4252 585-0704
� ITY F HK RRE TI N N TI E: �
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CONTRACTOR: r!'—t�' ,(ti`�`s:J �-e�C-- Time Insp. Called In
�,`�n � Date �
ADDRESS: l4-� � �- r �'`�l���'l Time Insp. Needed �
Requested By
Of
Phone# C <
Project to be Inspected J�C�� /Kes �
Means of Access
BUILDING: PLUME3ING: ELEC'I'R1C: HVAC: EROSION CON"I ROL: PROPERTY MA1NT.:
Footing Rough Rough Tracking Sctback Park.
Foundation Test On Scrvice�� Fumace Silt Fence Unlicensed Veh.
Rough Underfloor Amps Ph A/C Stone Access Garbage
Insulation Scwer/Water Temp Perm Fircplace E.C.Bales Dilapidated bld's,
Bsmt.Floor Reinsp. UG OH Reinsp. Reinsp. fences,etc.
Reinsp. Final Reinsp. Final Final Ext.Maint.
Final Other Final Other Other Other
Other Other =
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1TEM# CODE INSPECTION RESULTS
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VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS NOTED BELOW
CALL FOR INSPECTIONS BEFORE CONCEALMENT AND/OR OCCUPANCY!!
COMPLIANCE DATE:
Action Taken: ❑ Not Approved/Inspection Report left on site
❑Not Approved/Inspection Report given to
Signed�l��-Qt��al� ���/���o
Inspection Services Drvision Da O lnspection Phone Number
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Electric Permit Work Card
Job Address 610 E MELVIN AVE Permit Number 0000000 Create Date 09/08/1999
Owner THOMAS K LAFONTAINE Contractor ARROW ELECTRIC OF OSHKOSH
Category 634-Residential-Service Change
Service New � Change 0 Temp Type � Overhead � Underground
Volts Switches Neon Sign Neon#
Amps Fixtures Neon Transformers#
Circuits Receptacles Value $0.00
Appliances
Use/Nature FR/SERVICE CHANGE
of Work
Inspections: /
Date 09/OS/1999 Type Service Inspector ✓ Approved
:42 AM
INSPECTION REQUESTED FOR TODAY,WILL BE OPEN DAY
AXED 9/9/99,MAILED 9/13/99
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