HomeMy WebLinkAbout0102906-electric (pool)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
956 STARBOARD CT Owner STUART ANICKIE STRUENSEE
BQ ELECTRIC SERVICES LLC Category 612- Residential-Single Family Addition/R
~) New O Change (~) Temp I Type ~'~ Overhead
Circuits 0
0 Switches 0
No 102906
Create Date 07/17/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances ::'ool widng.
Use/Natureof ~FR/ Connect electrical power for newpool.
Work
Fees: Valuation
Issued By:
$150.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 07/17/2003
[] Permit Voided J
In the performance of this work [ agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number (920) 233-9005
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
JUL
All kfo~tion after bold categories
Incomplete applications will not be processed.
OdHKO_/H
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will resuk in fees being doubled or $1.00.00 plus the
normal permit fee, which ever is greater.
OR
Zf ¥ou are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
~g[Single Family E]Duplex
mMulti-Family
SERVICE F1New F1Temporary
F1Change ' [2Not Applicable
ElRental F1Commercial Fllndustrial
TYPE I~Overhead F1Not Applicable
[2Underground
FILL IN TIlE APPROPRIATE BLANK WITH Tlz~ NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK [] ALL APPLICABLE
[2Range [2Dishwasher F1Garbage Disposal [:]Dryer
[2Fan OR Blower [2Furnace EI,AfC ElElectdc Sign
[ZlMotors F1Gas Pumps [~Other-. _~f~[
DESC~PTION OF ALL WORK BF~XG DONE (/~(~,-¥~ ~ ~C~ ~-[~C"~i C a
FlWater Heater
VALUE (Including labor and al~teri~ls inel..ul:l,ing. J~ fixtures)
3/02