HomeMy WebLinkAbout0151464 - Electric (pool pump and bonding) CITY OF OSHKOSH No 151464
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3145 HALLIE HOLLOW CT Owner KEVIN J/JENNIFER L MARTIN Create Date 08/01/2012
Contractor FOLSKE ELECTRICAL SERVICES LLC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service O New O Change O Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of SFR/POOL PUMP WIRING AND BONDING **check#1885
Work
Fees: Valuation $850.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By1� Date 08/01/2012
Permit Voided Parcel Id# 1343690000
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 ec re any�necess ry ppr als efore starting such activity.
Signature f1— p&! Date - /- IZ
Agent/Owner
Address 4285 RIPPLE AVE OSHKOSH WI 54904 -6868 Telephone Number (920)420-2798
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.
City of Oshkosh
Division of Inspection Services
P.O.Box 1130 Oshkosh,WI 1 54903-1130
41)
Phone(920)236-5050
Fax (920)236-5084 OJHKOf H
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
if you want this processed through your account ❑ e- ‘-17__
DATE
JOB ADDRESS I 1-k5 1. t\G ` 1.0
OWNER ` ,�
CONTRACTOR `lJ��'r-v,
CHECK H ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 13 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
C1)'\ VLAJV Q \ "tiCrritin
1
VALUE(Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN
3/02