HomeMy WebLinkAbout0146567-Electric (pool) CITY OF OSHKOSH No 146567
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2807 NEWPORT AVE Owner SCOTT R/ANNE M BOYCE Create Date 06/14/2011
Contractor HULLAR ELECTRIC LLC Category 612 - Residential - Single Family Addition /R Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 1 Luminaires
Amps Switches Receptacles 2
Appliances
Use /Nature of SFR\ Pool wiring & sub panel for generator. *All wiring to meet current code requirements.
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: g PPP' Date 06/28/2011
ri Permit Voided Parcel Id # 1332850000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure a ssary a vats before starting such activity. /
Signature Date (�—' 2F �
Agent/Owner
Address 4932 W 9TH STREET RD OSHKOSH WI 54904 - 6530 Telephone Number (920) 233 -3667
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
3 4
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOJH
ON THE 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
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
ifyou want this processed through your account ❑
' / n DATE G -- 2 e —/ /
JOB ADDRESS 6'07 /V -z p._)
OWNER ,Z) o - I� J�ri
CONTRACTOR j�� /L / "
CHECK la ALL APPLICABLE
USE CATEGORY
ngle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ['Temporary TYPE ❑Overhead ❑Not Applicable
['Change ❑•ot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK B( ALL APPLICABLE
❑Range ['Dishwasher ['Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE k- % f c (� on/ � p t l s C,� p 49e(
( () r
VALUE (Including labor and all materials including light fixtures) / 2 co, op
MASTER ELECTRICIAN
3/02