HomeMy WebLinkAbout0096814-Electric
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OSHKOSH
ON THE WATER
Job Address 2746 HAMILTON ST
Contractor MIKE DELSART ELECTRIC INC
CITY OF OSHKOSH
No 96814
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date 07/17/2002
Category 611 - Residential-New Single Family Wirin Plan
Switches
Type 0 Overhead
16
o
o Underground
Service
p New
o Change
o Temp
Receptacles
16
o
Volts 120/240
Amps 240
Circuits
Fixtures
Appliances Range, Dishwasher, Garbage Disposal, Furnace, Dryer & AlC.
Use/Nature of NSFRI New home wiring.
Work
Fees: Valuation
Issued By: K-VV\
$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
AgenUOwner
Address
2886 OAK STREAM DR
DE PERE
WI 54115 - 0
Telephone Number 920-336-1615
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OJHKOJH
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
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JOB ADDRESS ~l 4LP ~~ l l ti/V)
OWNER U~.s..\-\:~l te.... ~~ i-,u-n ~N'h. <- ~
CONTRACTOR ~ Y'I? Ct. bi~ e ~-\:-~ \~S
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
~
OVERHEAD
DUPLEX
MULTI-FAMILY
RENTAL
COMMERCIAL
INDUSTRIAL
FIXTURES
\Le
~tlGR
.UNDERGRO~
SWITCHES
TEMPORARY
NOT APPLICABLE
SERVICE
TYPE
NOT APPLICABLE
AMPS
de... "")
VOLTS
w &O,t=d.'-;\: 'D
PHASE
CIRCUITS
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NO. OF
RECEPTACLES
CHECK ALL APPLICABLE
RANGE {)
DISHWASHER 'S)
WATER HEATER
GARBAGE DISPOSAL:\)
DRYER U
FAN OR BLOWER
FURNACE ..:0
A/C~
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
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DESCRIPTION OF ALL WORK BEING DONE WU;"e....... ~'cl~"f\c..--.\
. 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
teri ls including light fixtures) $~llG ,c0
MASTER ELECTRICIAN