HomeMy WebLinkAbout0096328-Electric (swimming pool)
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OSHKOSH
ON THE WATER
Job Address 1870 ORCHARD IN
CITY OF OSHKOSH
No 95328
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change
Owner PAUL E PHilLIPS Create Date 05/30/2002
Category 612 - Residential-Single Family Addition/R Plan
o Temp Type o Overhead o Underground
Circuits Fixtures 0
Switches 0 Receptacles
Contractor DREXLER ELECTRIC
Service
p New
Volts 120
Amps 20
Appliances
Use/Nature of SFRllnstall circuit and outlet for swimming pool pump.
Work
Fees: Valuation
Issued By: \(yY\
$350.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 06/20/2002
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
490 COUNTY ROAD FF
Agent/Owner
PICKETT
WI 54964 - 0
Telephone Number 589-6700
.. .
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OJH<OfH
ON THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
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.
DATE
~-17-o2-
JOB ADDRESS J,?7D D,e:~Hr7/LO L4Nb
OWNER r/tuL d- :Ji4r/;tf4 PHILLIPS
CONTRACTOR UrzexC&,t:'- eEG-r-/C/(
CIRCLE ALL APPLICABLE
USE CATEGORY ~NGLE FAMIL~ DUPLEX
SERVICE
NEW
CHANGE
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY ~APPLICAB~
(1f<5TAPPLICAB~
TYPE
OVERHEAD
UNDERGROUND
RECEPTACLES 1.-
CIRCUITS -2--
NO. OF FIXTURES
SWITCHES
AMPS
20
VOLTS /;:;rD /
PHASE .:2.--
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWER
FURNACE
AjC_
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE
411.- (~'B;6 S:W"M/~ r?o 0 L
~.s-T pt L-C
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Cl!.-/ 'r'~/+--
/f1Jt::>
ov-rler
. 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.
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VALUE (Including labor and all materials including light fixtures) $ sd~~
MASTER RLEC"'''CXAll~ o~k______
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