HomeMy WebLinkAbout0096815-Electric
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OSHKOSH
ON THE WATER
Job Address 2738 HAMILTON ST
CITY OF OSHKOSH
No 96815
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
THOMAS N RUSCH
Create Date 07/17/2002
Contractor
MIKE DELSART ELECTRIC INC
Category 611 - Residential-New Single Family Wirin Plan
Circuits
Type 0 Overhead
16
o Underground
Service
p New
o Change
o Temp
o
Receptacles
16
o
Volts 120/240
Fixtures
Amps 200
Switches
Appliances Range, Dishwasher, Garbage Disposal, Fumace, Dryer & AlC.
Use/Nature of NSFRI Wire new home.
Work
Fees: Valuation
Issued By: \(lVV"
$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 goveming the described construction.
Signature
Date
Agent/Owner
Address 2886 OAK STREAM DR
DE PERE
WI 54115 - 0
Telephone Number 920-336-1615
~
OJI-KOfH
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.
JOB ADDRESS dl"3q ~ l \ tD.--J
OWNER (' r{Yl (' Q ~ ~ J C LL-<;.-hVv-.. ~J'V\ e.. ~
CONTRACTOR ~~~\~ t ~~~ \\..~~~
DATE~
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
G~
OVERHEAD
DUPLEX
MULTI-FAMILY
RENTAL
COMMERCIAL
INDUSTRIAL
NO. OF
FIXTURES
\G
CHANGE TEMPORARY NOT APPLICABLE
~GRO~ NOT APPLICABLE
SWITCHES RECEPTACLES CIRCUITS
VOLTS tC;O / 6-t-n PHASE ~'r~'-J;~..I
\l.Q
SERVICE
TYPE
AMPS
d t~-:-;
CHECK ALL APPLICABLE
DISHWASHER :0
FAN OR BLOWER
FURNACE 0
DRYER .()
A/CO
RANGE
iJ
WATER HEATER
GARBAGE DISPOSAL f)
ELECTRIC SIGN MOTORS GAS PUMPS
~ A \
~ \~, .
DESCRIPTION OF ALL WORK BEING DONE ~\rG . \d.a..v-::t'\C(!
OTHER
\\u-~
. 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
a'Q:t!::F'UdiUg light fixtures) $ ":'flOC> ,G.:J
MASTER ELECTRICIAN