HomeMy WebLinkAbout0157073-Electric (pool) � CITY OF OSHKOSH No �5�073
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 75 FARMSTEAD LN Owner BRET D/CARMELLA M UPTAGRAFT Create Date 08/06/2013
Contractor T RUCK ELECTRIC INC Category 612-Residential-Single Family Addition/R Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground �
Volts Circuits 1 Luminaires
Amps Switches Receptacles 1
Appliances
, :
i
Use/Nature of �SFR\Install pool outlet
Work
Fees: Valuation $500.00 Plan Approvai $0.00 Permit Fee Paid $30.00
Issued By: �T� Date 08/06/2013
❑ Permit Voided I Parcel Id# 1528340000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Ui.-ision of Inspection.�',ervices �
P.O. Box l 130 ' �
Oshkosh,«'1 5490?-1130
?hone(920)236-5050
rax (92G?23G-54��1 f'�. i�''(�� i"� --
Q '
—1�\�..�'_�
Oh1 THF iVATEB
ELEGTRICAL PERI1111T APPLICATI�N
All information after bold categories must be provided.
Incomplete appiications will not be processed,
• Application(s) and fee(s) can be brought to City Hall,Room 205 or mailed to Inspection Ser��ices, PO Bos ? i��,
Oshkosh WI S4gJ3-112$. Comrnencing work withoui permit(s)will result in fees being doubled or$IOO.OU pius ti��
norma; permit fee�, which ever is greater.
OR .
�f vou are a contra,:ror DarticipatinQ in the Permit Fee Account Svstem anrf have adegiiate t�r,nds ckeck i����•�� .
if��ou wanr this processed through vour accounr ❑ .
. UATE ��L �_�
JQB ADllRESS ����.� �� �
OR'NER��.T" L��}Q,.�n��.—
`�`��
CUNTRACTOR� • �
�
- ..
,; .
CHECK H A1.,L APPLICABLE
LTSE ATEGORY
ingle Fan�ily ❑Duplex ❑Iviulti-Famil�� ❑Rental ❑Commercial C]Industna?
SER�'ICE ❑New �❑T�e porary TYPE ❑Overhead �'lGot Applicabie '
❑Change CYNot Applicable ❑Underground
FiLL IN THE APPROPRIATE BLANK�VITH THE NU111BER
�'otts / _ Receptacles #_� Circuits# �
Phase
Amps S�F�itches # Fixtures#
CHECK E�ALL APPLICAI3LE
QRange �Dishwasher ❑Garbage Disposal f>Uryer ❑titiater Heate;
❑Fan UR Blower �Furnace 0���, ❑Electric Sign
❑Motors �Gas Pumps ❑Other ,
DESCRIYTION OF ALL wUitK BEING llUNE__ (�� , � '� . �,��n ��i...( ��--
� _,�-�...�
�'ALUE (Including Sabor and all t r" s including tight GxEures) $ � '
s� •
hiAS?ER ELECTRICIAN