HomeMy WebLinkAbout0096816-Electric
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OSHKOSH
ON THE WATER
Job Address 2720 HAMILTON ST
Contractor MIKE DELSART ELECTRIC INC
CITY OF OSHKOSH
No 96816
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH Create Date 07/17/2002
Category 611 - Residential-New Single Family Wirin Plan
Switches
Type 0 Overhead
16
o
o Underground
o New
o Change
o Temp
Service
Amps 200
Receptacles
16
o
Volts 120/240
Circuits
Fixtures
Appliances [Range, Dishwasher, Garbage Disposal, Furnace, Dryer & AlC.
Use/Nature of NSFRI New home wiring.
Work
Fees: Valuation
Issued By: J-<. yYI
$3,900.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Date 08/23/2002
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
2886 OAK STREAM DR
Agent/Owner
DE PERE
WI 54115 - 0
Telephone Number 920-336-1615
-.A.
~
OJ1--l<) ifH
ON-THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE~~\ \6#
JOB ADDRESS ~?tl"d-D ~~, \+'l.V)
OWNER ~~<>- \"1 y--<z..., C ..tA ~t<.~1l"'\ \-\'VY\ e S
CONTRACTOR \' /reCl.J\'f'{) -" c.~ ~ .L~t~ ~ 0S
CIRCLE ALL APPLICABLE
SERVICE
SINGLE FAMILY
~
DUPLEX
MULTI-FAMILY
RENTAL
COMMERCIAL
INDUSTRIAL
USE CATEGQRY
OVERHEAD
CHANGE
lUND~RGRO~
TEMPORARY
NOT APPLICABLE
TYPE
NOT APPLICABLE
NO. OF FIXTURES
AMPS 206
Jf::,
SWITCHES RECEPTACLES
VOLTS /2. C / 2. c.t 0 PHASE
CIRCUITS
Yfl'-"I"--
It:,
CHECK ALL APPLICABLE
RANGE~
DISHWASHERL
WATER HEATER
GARBAGE DISPOSAL ~
DRYER X
FAN OR BLOWER
FURNACE
f<
A/C~
ELECTRIC SIGN
MOTORS
GAS PUMPS
re.5rdl^ ';J~,) . H(Jv>~
OTHER
DESCRIPTION OF ALL WORK BEING DONE W ;- r <.
. Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit feel which ever is
greater.
VALUE (Including labOr. rr all,~t{jia'~'Uding light. fixtures) $ 1~OO, 00
MASTER ELECTRICIAN ;V~ ~~~