HomeMy WebLinkAbout0097892-Electric
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OSHKOSH
ON THE WATER
Job Address 2790 HAMILTON ST
CITY OF OSHKOSH
No 97892
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
Service
p New
Volts 120/240
Circuits
Type 0 Overhead
15
o
o Underground
o Change
o Temp
Fixtures
16
o
Amps 200
Switches
Receptacles
Appliances Range, Dishwasher, Garbage Disposal, Furnace, Dryer & AlC.
UselNature of NSFRI Wire new home.
Work
Fees: Valuation
Issued By: ~
$3,900.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Date 10/09/2002
D PermitVoid~
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
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Division of Xnspection Services
21.5 Church Avenue
P.O. Box 1.130
Oshkosh. WI 54903-1.130
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. ~
1 DATE~~
JOB ADDRBSS .'d..C\D ~~\~ (~+ \aJ
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CONTRACTOR U.p1',.k'~\7~ ~ l.l.~~ \~~~
DUPLEX MULTI -FAMILY RENTAL COMMERCIAL INDUSTRIAL
~ TEMPORARY NOT APPLICABLE
~ONDBRGR~) NOT APPLICABLE
SWITCHES RECEPTACLES CIRCUITS \~
VOLTS I ~ I p..'\D PHASE ;;:S~1::--'
CHECK ALL APPLICABLE
RANGE 6)
DISHWASHER C
WATER HEATER_
GARBAGE DISPOSAL.,o
FAN OR BLOWER_
FURNACE~
DRYER~
Alc ~
ELECTRIC SIGN_
MOTORS_
GAS PUMPS_ OTHER
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DESCRIPTION OF ALL WORK BEDIG DONE \ L~'-..{--e.{
. 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.
= ~~1l1J::rrrmf:::;~:)tuxe.) $ 7)q~kJ