HomeMy WebLinkAbout0097373-Electric
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OSHKOSH
ON THE WATER
Job Address 2779 HAMILTON ST
Contractor MIKE DELSART ELECTRIC INC
CITY OF OSHKOSH
No 97373
ELECTRIC PERMIT - APPLICATiON AND RECORD
Owner
CREATIVE CUSTOrv'! HOMES
Create Date 09/10/2002
Category 612 - Residential-Single Family Addition/R Plan
Service
/8 New
o Change
o Temp
Circuits
Type 0 Overhead
15
o Underground
Volts 120/240
Fixtures
16
Amps 200
Switches
o
Receptacles
o
Appliances Range, Dishwasher, Garbage Disposal, Furnace, Dryer & NC.
.
Use/Nature of l'ISFRI Wire new home.
Work
Fees: Valuation
Issued By: K\J\f\
$3,900.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Date 09/18/2002
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
Agent/Owner
Address
2886 OAK STREAM DR
DE PERE
WI 54115 - 0
Telephone Number 920-532-0110
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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
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE
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JOB ADDRESS d "I q \-\C:UA"\ \ ~ +~
OWNER Cf'e.c>--t\V-e..- ~S-\-~ ~~
CONTRACTOR ~.e.u ~\!~ ~~\-~ ~ ~
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
G;J
OVERHEAD
DUPLEX
MULTI-FAMILY
RENTAL
COMMERCIAL
INDUSTRIAL
NO. OF
FIXTURES
\ljJ
CHANGE
~GROUN;j
SWITCHES
TEMPORARY
NOT APPLICABLE
SERVICE
TYPE
NOT APPLICABLE
RECEPTACLES
CIRCUITS
\~
AMPS d c5\:)
VOLTS I d-D / ;:}'-to
PHASE
~w~~
CHECK ALL APPLICABLE
RANGE~ WATER HEATER
DISHWASHER~ FAN OR BLOWER
GARBAGE DISPOSAL 'X
FURNACE~
DRYER~
A/C~
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE "--'--'\'V'-C_ \\6.....:> Q RSld ~ t-~\ Y\.l..t ~-z..
.
ub . . hI" . I SEP 1. R1..2002 d
S m1t payment W1t app 1cat1on. Fa1 ure to pay W1~l!1n 30 ays
fees being doubled or $100.00 plus the normaOE13AR"fMEtffUF which
greater. COMMUNITY DEVELOPMENT
will result in
ever is
VALUE
;i..xtures) $ '~q 00 .LQ
MASTER ELECTRICIAN