HomeMy WebLinkAbout0101294-Electric (pool equipment)OSHKOSH
ON THE WATER
.lob Address 375 N EAGLE ST
Contractor CURRENT ELECTRIC CO
Service [~ New (~ Change
Volts 120 / 280
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSH AREA SCHL DIST WEST HIGH
Category 643- Commercial-Addition/Remodels
Amps 0
~) Temp
No 101294
Create Date 05/06/2003
Plan
Type I~ Overhead ~ Underground
Circuits 1 Fixtures
Switches 0 Receptacles
Appliances Pool Pump
Use/Nature of West High School/Remove existing electrical pool equipment. Install new pool pump & starter. Install 3 recepts for pool chemical system.
Work
Fees: Valuation
Issued By:
$6,800.00 Plan Approval $0.00 Permit Fee Paid $135.00
Date 05/06/2003
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 12625 W BURLEIGH RD Brookfield WI 53005 - 0 Telephone Number
262-786-5885
City of Oshkosh
Division of Inspection Services
?.O. Box I 130
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 T~qF
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 t28,
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 ~eater.
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 []
CHECK [~ ALL APPLICABLE
USE CATEGORY
F'ISingle Family
SERVICE []New
F1Change
F1Duplex I-IMulti-Family
FITemporary
~]Not Applicable
I-1Rental
TYPE
,J~Commercial Ullndustrial
F1Overhead ~,~ot Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~o1 ~, ~, I Receptacles # "~
Phase ~ ¢~
Amps Switches #
Circuits#
Fixtures #
CHECK [] ALL APPLICABLE
F1Range []Dishwasher F1Garbage Disposal []Dryer
L-'IFan OR Blower []Furnace [qA/C DElectric Sign
F1Motors r'qGas Pumps litlOther _q~ ~.~ok, q?,,~,,,-,. ~>
[]Water Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN ~..,...~h ',\\', ,.~.-,-.~ ~.-'~, ~.X~>.~...¢: c,.-~
3/02