HomeMy WebLinkAbout0097890-Electric
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OSHKOSH
ON THE WATER
Job Address 2782 HAMILTON ST
CITY OF OSHKOSH
No 97890
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CREATIVE CUSTOM HOMES & DEVELOP Create Date 09/24/2002
Contractor
MIKE DELSART ELECTRIC INC
Category 611 - Residential-New Single Family Wirin Plan
Switches
Type 0 Overhead
15
o
o Underground
b New
o Change
o Temp
Service
Volts 120/240
Circuits
Fixtures
16
Punps 200
Receptacles
o
Appliances Range, Dishwasher, Garbage Disposal, Furnace, Dryer & AlC.
Use/Nature of NSFRI Wire new home.
Work
Fees: Valuation
Issued By: .J<Yv'
$3,900.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Date 10/09/2002
D 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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IJivision of :rnspec:tion Services
:115 Church Avenue
P.O. Box. 1130
Oshkosh. WI 54903-1.1.30
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 \C\--=O\O';p ~J}
OWNER
CONTRACTOR
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JOB ADDRESS
CIRCLE ALL APPLI
SERVICE
DUPLEX MULTI-FAlfiLY RENTAL COMMERCIAL INDUSTRIAL
USE CATBGOR
TYPE
OVERHEAD
~
TEMPORARY
NOT APPLICABLE
NO. OF FIXTURES \ \.....Q
SWITCHES
NOT APPLICABLE
RECEPTACLES
CIRCUITS \ ~
AMPS
'd(..)../
VOLTS 'dO I ~ '-\:U
PHASE
~~
CHECK ALL APPLICABLE:
FAN OR BLOWER_
FURNACE .0
DRYER 0
AIC D
~GR...o
DISHWASHER ~
WATER HEATER
'-
GARBAGE DISPOSAL ..:0
ELECTRIC SIGN____
MOTORS_
GAS PUMPS_
OTHER
DES~IPTION OF ALL WORK BEING DONE ~("'e..,..... ~ --::> 'V ~~d~\:.,~ ~~
. 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.
= ::x-: ~:a8:~:i~:;~~-) $ 3Qm.(Q