HomeMy WebLinkAbout0094490-Electric (pool) 0 CITY OF OSHKOSH No94490
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1754 MINNESOTA ST Owner JAMES R B FERRANDA/LONI ANN M Create Date 04/08/2002
Contractor HOEHNE ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use /Nature of SFR/ Wire pool pump & heater & outlet on side of the house.
Work
Fees: Valuation $600.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: ' rr‘ Date 05/20/2002
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 813 E RIVER DR OMRO WI 54963 - 0 Telephone Number (920) 685 -0199 M 920 -42(
?Le, -S& 4,01t, ?elm vi T-e--t
e Di v ision of Ins pection Services ( — c mu) 1,
215 Church Avenue / V� / V' J
P.O. Box 1130
allUn Oshkosh. NI 54903 -1130
Fax (920) 236 -5084
Phone (920) 236 -5046 1- ///��� yA q0u
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DAT* � - -2c - O 2
JOB ADDRESS S // il0/ - -4P . :JQI '
OWNER 2,69/2 i 1 r= - Z,
CONTRACTOR ffee- y/1.-. Ek216 . -
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI - FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS L OTHER
DES IPTION OF L WORK BEI�NG DONE 1 ,e, L i ? I,/ ` 1�
1'„
�C� Can S ( € a AW . (A-Sr
• 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.
VALUE (Including 1 all materials including light fixtures) $ e « ,a 0
NAST= ELECT= 7
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