HomeMy WebLinkAbout0097050-Electric
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OSHKOSH
ON THE WATER
Job Address 2756 HAMILTON ST
Contractor MIKE DELSART ELECTRIC INC
CITY OF OSHKOSH
No 97050
ELECTRIC PERMIT - APPLlCATldN AND RECORD
Owner THOMAS N RUSCH Create Date 07/17/2002
Category 611 - Residential-New Single Family Wirin Plan
Service
o New
o Change
o Temp
Circuits
,
Type 0 Overhead
15
o Underground
Volts 120f240
Fixtures
16
Amps 200
Switches
o
Receptacles
o
Appliances !Range, Dishwasher, Garbage Disposal, Furnace, Dryer & AlC.
UsefNature of ~SFRf New home wiring.
Work
Fees: Valuation
Issued By: ~"'"
$3,900.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Date 09f04/2002
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
Address 2886 OAK STREAM DR
AgentfOwner
DE PERE
WI 54115 - 0
Telephone Number 920-336-1615
.... . -... .-.:
~
OJH<OJH
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
JOB ADDRESS ~1~G. \\C,~:\\GVJ Ltt. \d~
OWNER t~~~~ ~
CONTRACTOR_ '\ - \ Y\. . c> ~ s, :
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE~
CIRCLE ALL APPLICABLE
USE CATEGORY
SERVICE
SINGLE FAMILY
G;)
DUPLEX
MULTI-FAMILY I RENTAL
COMMERCIAL
INDUSTRIAL
TYPE
OVERHEAD
CHANGE
€ERGR~
SWITCHES
TEMPORARy
NOT APPLICABLE
NOT APPLICABLE
NO. OF
FIXTURES
\ ~-.Q
RECEPTACLES
CIRCUITS
\S
AMPS ~::>
VOLTS Joo /d-~()
PHASE
~~
CHECK ALL APPLICABLE
RANGE ~ WATER HEATER
DISHWASHER~ FAN OR BLOWER
GARBAGE DISPOSAL \j
FVRNACEi
DRYERL
A/C~
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE L0\ ~ (L ~) ~dSL_~.C.J\
· 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 labo~~~al~ mat
ELECTRICIAN ~ fJ
including light fixtures)
$ ~~ ro ,G:::>
MASTER