HomeMy WebLinkAbout0095863-Electric (pool & hot tub)
~
OSHKOSH
ON THE WATER
Job Address 3010 HUNTERS PL
CITY'OF OSHKOSH
No 95863
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
NATALIE A HANSON/PAULINE SIKOR
Create Date 06/07/2002
Contractor
DC ELECTRIC
P New
Category 612 - Residential-Single Family Addition/R Plan
Volts
Circuits
Type () Ovemead
o
o
() Underground
Service
() Change
() Temp
Fixtures
o
o
Amps
o
Switches
Receptacles
Appliances
Use/Nature of SFRI Wiring for Inground Pool & Hot Tub
Work
Fees: Valuation
Issued By: L
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
$45.00
Date 07/15/2002
D Permit Voided I
In the perfonmance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
1401 MINNESOTA AVE
Agent/Owner
N FOND DU LA WI 54937 - 0
Telephone Number 920-906-9199
.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
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ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· 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 result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I(you are a contractor participating in the Permit Fee Account System and have adeQuate funds. check here
if you want this processed throuf!h your account D
DATE
'7/Q/o&--
JOBADDRESS "30 I 0 ~\J VY1'e..-~ ~ L.\A-Ce..,
OWNER "PRv l-\V\L., 51 Ko~JL\ ~ ^') ATA-Lie ~lS0V\
CONTRACTOR 1)l!... E, L~c- --r1L t c....,
CHECK ~ ALL APPLICABLE
TJSE CATEGORY
fiaSingle Family o Duplex
DMulti-Family
o Rental
o Commercial
o Industrial
SERVICE DNew
o Change
o Temporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
Jl?tOther
o Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
LV\. C l2 Q ,~'^ 0 ~OD \ ~ \\0\" \""\.:) p:>
VALUE (Including labor and all materials including light fixtures) $ \ 00 0 o~
'\
MASlERELECTRICIAN r ~.9,~~~.
1/;'r
/' 3/02