HomeMy WebLinkAbout0097891-Electric
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OSHKOSH
ON THE WATER
Job Address 2789 HAMILTON ST
CITY O~ OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No 97891
Owner
CREATIVE CUSTOM HOMES & DEVELOP Create Date 09/24/2002
Contractor
MIKE DELSART ELECTRIC INC
Category 611 - Residential-New Single Family Wirin Plan
Service b New
Volts 120/240
o Change
o Temp
Circuits
Type 0 Overhead
15
o Underground
Amps
o
Receptacles
16
o
Fixtures
200
Switches
Appliances Range, Dishwasher, Garbage Disposal, Fumace, Dryer & AlC.
Use/Nature of NSFR/ Wire new home.
Work
Fees: Valuation
Issued By: K '(V\
$3,900.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Date 10/09/2002
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
2886 OAK STREAM DR
Agent/Owner
DE PERE
WI 54115 -0
Telephone Number 920-532-0110
~
O{!!(Q(A
Divisioo of XDspectiOD Servic:es
215 Church Avenue
P.O. Box 1130
OSbkosb. WI 54903-1130
Pax (9201 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed. ~. __
D&TB ~\~~"".d:- - VVJ
JOB ADDRESS ~%~ ~,\\~. L& I~
OWNER ~t?0.~~ ~ \}V~\~ ~eJ~
CONTRACTOR. WOl.~"~' t USl\:~ ~~
CI~CLE ALL APPLICABLE
USE CATBGORyG!NGLE F~ DUPLEX MULTI,.FAMILY RENTAL
SERVICE CHEw::) CHANGE TEMPORARY
~ERGR~
SWITCHES
COMMERCIAL
INDUSTRIAL
NOT APPLICABLE
TYPE
OVERHEAD
NOT APPLICABLE
AMPS
al\'}
VOLTS
t~1 .?>-~D
PHASE
CIRCUITS \ ~
~<f-- ~
NO. OF
FIXTURES
\\f
RECEPTACLES
CHECK ALL APPLICABLE
FAN OR BLOWER_
FURNACE <..0
DRYER '0
AIC .0'
RANGE b$)
DISHWASHER~
WATER HEATER_
GARBAGE DISPOSAL <<.)
ELECTRIC SIGN MOTORS_ GAS PUMPS_ OtHER
DESCRIPTION OF ALL WORK BEmG DONE Lu.rC6 ~'Qa..,.~~~~ ~~.
. 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 (xnc1udi.Dg labor :J\.l1li~..iaelinc~];. ll~t fixtures) $ ~~ ",CA.J
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