HomeMy WebLinkAbout0097893-Electric
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OSHKOSH
ON THE WATER
Job Address 2795 HAMI L TON ST
CITY OF OSHKOSH
No 97893
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date 09/24/2002
Contractor MIKE DELSART ELECTRIC INC
Category 611 - Residential-New Single Family Wirin Plan
Service
p New
o Change
o Temp
Volts 120/240
Circuits
Type 0 Overhead
15
o
o Underground
Fixtures
16
o
Amps 200
Switches
Receptacles
Appliances Range, Dishwasher, Garbage Disposal, Furnace, Dryer & NC.
Use/Nature of NSFRI Wire new home.
Work
Fees: Valuation
Issued By: lZ'W\
$3,900.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Date 10/09/2002
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
AgenUOwner
Address
2886 OAK STREAM DR
DE PERE
WI 54115 - 0
Telephone Number 920-532-0110
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Division of :rnspect:ion services
215 Church Avenue
P.O. Box 1.1.30
Oshkosh. WI 54903-11.30
Fax (920} 236-5084
Phone (920} 236-5046
ELECTRICAL PERKITAPPLICATION
All information after bOld categories must be provided.
Incomplete applications will not be processed.
DATE
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JOB ADDRESS ~)q~ ~~\~ l bt \'d\
OWNER ~,~~ ,~'-\~. ~~
CONTRACTOR~D~'~ \::U~\~ \~(.n..tt~
CIRCLE ALL APPLICABLE
USE CATEGORY ~E FAMI~UPLEX
SERVICE C NEp
MULTI - FAMILY RENTAL COMMERCIAL
INDUSTRIAL
TYPE
OVERHEAD
CHAN:E
<;;ERGRO~
TEMPORARY
NOT APPLICABLE
NO. OF FIXTURES \ l-C:'
SWITCHES
NOT APPLICABLE
RECEPTACLES
CIRCUITS \S
AMPS
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VOLTS \d't> ~~
PHASE
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CHECK ALL APPLICABLE
RANGE 0
DISHWASHERQ
FAN OR BLOWER_
FURNACE <0
DRYER (()
A/C~'
WATER HEATER_
GARBAGE DISPOSAL j)
ELECTRIC SIGN____
MOTORS_
GAS PUMPS_ OTHER
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DESCRIPTION OF ALL WORK BEING DONE\~\..fb
. 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.
I
VALtIB ("""1_ 1ahor..... aU -~ r 1ight fixtuxes) $ ~lVt>.4-~
DS't'BR ~<1Il~ ~ qf<-d3