HomeMy WebLinkAbout0100966-Electric (pool)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
3109 QUAIL RUN DR
TEAM SERVICES
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner PAUL A/KATHY A BOEDER
Category 657- MISC.- OTHER THAN BUILDINGS
Type I~ Overhead
Circuits 0
Switches 0
No 100966
Create Date 04/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Pool Pump
Use/Nature of SFRNViring pool pump, cover
Work
Fees: Valuation
Issued By:
$1,100.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 04/24/2003
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 2602 AMERICAN DR APPLETON WI 54914 - 9010 Telephone Number
920-738-5885
'City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THI~ WATER
· 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 []
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
-l~Single Family
SERVICE [2]New
EIChange
EIDuplex mMulti-Family
F1Temporary
FINot Applicable
F-IRental
TYPE
F1Commercial F'llndustrial
FIOverhead nNot Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE .NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[] Range V1Dishwasher F1Garbage Disposal
[] Fan OR Blower F1Fumace F1A/C
F1Motors I-1Gas Pumps l-lOther
DESCRIPTION OF ALL WORK BEING DONE /~A.J ~ r ,~
F1Dryer
nElectric Sign
EIWater Heater
VALUE (Including labor and ali materials including light fixtures) $
MASTER ELECTRICIAN ~~'~ .~'~
! 71gD
3/02