HomeMy WebLinkAbout0156481-Electric (pool) � CITY OF OSHKOSH No 156481
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1190 FREEDOM AVE Owner GREGORY A/MARY L LINSE Create Date 06/17/2013
Contractor FOLSKE ELECTRICAL SERVICES LLC Category 612-Residential-Single Family Addition/R Plan
Inspector
Service New � Change � Temp � N/A Type � Overhead � Underground �
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Pool. �
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Use/Nature of RES/Install above groud pool and concrete patio per site plan submitted. The yard is fully enclosed with a 6'fence already. A separate
Work lectrical permit will be obtained. All construction shall comply with State and local building codes. The Pool Center is installing the
pool and patio. �
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Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: Date 07/01/2013
❑ Permit Voided�� Parcel Id# 1250175200
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 oosec�� sary pro als before starting such activity. � _ �
Signature �'_ �� Date � l
AgenUOwner
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 54903-1130
Phone(920)236-5050
F� (920)236-5084 OfHKO.lH
ON THE WATFR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit Fee Account Svstem and have adeguate fi�nds, check here
if vou want this processed throu�vour account ❑
� _ �DATE �
JOB ADDRESS �1, l V �1 .0 P�(1�
OWNER C � (� Q
CONTRACTOR — Q h, � � 1C
CHECK Lf ALL APPLICABLE
US CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK Q ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C / ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other ✓ `�G�
DESCRIPTION OF ALL WORK BEING DONE
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VALUE(Including labor and all materials including light 5xtures)$
MASTER ELECTRICIAN �C\W� �
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