HomeMy WebLinkAbout0097894-Electric
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OSHKOSH
ON THE WATER
Job Address 2798 HAMILTON ST
Contractor MIKE DELSART ELECTRIC INC
CITY OF OSHKOSH
No 97894
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES Create Date 09/24/2002
Category 611 - Residential-New Single Family Wirin Plan
Service
b 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 & AlC.
Use/Nature of NSFRI Wire new home.
Work
Fees: Valuation
Issued By: ~ VV\
$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
Address
2886 OAK STREAM DR
Agent/Owner
DE PERE
WI 54115 - 0
Telephone Number 920-532-0110
~
)7t-KQtR
ON-'~ R:
Division of InspeCtion Services
215 Church Avenue
P.O. Box 1.130
Osbll:osh. WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTR::tCAL PERKJ:T APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE \b\~lQ~
~
OS ADDRESS -a)f:\~ ~~\M.~\\~ lo\ l6~
WNER ~e.o..-~~~ \.)...~ ~~
ONTRACTOR \.:...i'~\~;\~ ~J.~~\~ ~<L.S
~IRCLE ALL APPLICABLE
'SE CATEGORY ~LEFAM~ DUPLEX MULTI-FAMILY RE,NTAL COMMERCIAL
:ERVICE ~J CHANGE
c;oERGR~
INDUSTRIAL
TBMPQRARY
NOT APPLICABLE
'YPE
OVERHEAD
NOT APPLICABLE
SWITCHES RECEPTACLES CIRCUITS \ ~
VOLTS 1~/'d,.'It..., PHASB ~1i:-
:HECK ALL APPLICABLE
~GE~ Wl-\.TER HEATER_ GARBAGE DISPOSAL t()
IISHWASHER ~ FAN OR BLOWER_ FURNACE ..0
DRYER \0
AI C ..0
:LECTRIC SIGN MOTORS GAS PUMPS . OTHER
- - -
tESCRiPTiON OF ALL WORK BEING DONE \"..:>...i' e-> (\-ell... ~ 0 ~~"c\~\o..... \ ~ <O~
. 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.
rALDB (-=1_ 1~m~ .1i~ fizbu:ea) $ ~ro..lU
IAS'l"BR BLBCftICIU" . - 7/ ~ ), ((... t