HomeMy WebLinkAbout0101365-Electric (pool)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
1640 CHATHAM DR
DREXLER ELECTRIC
[~ New (~) Change (~) memp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL/PAMELA ISAKSSON
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 0
No 101365
Create Date 05/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ Installing an outlet for an above ground pool with 48"-52" high walls.
Work
Fees: Valuation
Issued By:
$460.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 05/08/2003
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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number
589-6700
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
O3~--~OJH Oshkosh, WI 54903-1130
Fax (920) 236-5084
ON THE WATER
Phone (920) 236-5046
RECEIVED
HA( 0
All information a~ter bold cate~t~.~L~AV
Incomplete applications wi~~
DATE
CIRCLE ALL APPLICABLE
USE CATEGORY S.__~LE~,F~.AMIL~ DUPLEX MULTI-FAMILY RENTAL COMMER/R~~I__~NDUSTRIAL
CHANGE TEMPORARY NOT APPLICABLE
SERVICE NEW
TYPE OVERHEAD UNDERGROUND
NO. OF FIXTURES SWITCHES RECEPTACLES1 CIRCUITS
AMPS ~O VOLTS /~%~ / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER__ GARBAGE DISPOSAL__ DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS__ OTHER
DESCRIPTION OF ALL WORK BEIN~ DONE ~/j~t[ O ~/'~7- ~'(-
Po o A, z,.?
Submit payment with application. Failure to pay within 30 days will resul~ in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
materials
VALUE (Including labor ~DU all including light fixtures)