HomeMy WebLinkAbout2002-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
2585 VILLAGE LN Owner OTTO J / KAREN L SEIFERT
ZIMMER ELECTRIC LLC Category 612- Residential-Single Family Addition/R
~) New C) Change C) Temp I Type C) Overhead
Circuits 0
Amps 0
Switches 0
No 98668
Create Date 11/13/2002
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Nature of Condo/Wiring for basement remodel.
Work
Fees: Valuation
Issued By: ~
$350.00 Plan Approval $0.00 Permit Fee Paid $20.00
of~ [] Permit Voided I
In the perforce gree to perfor I wor ursuant to rules governing
Address / 40~0 E SCOTT ST ~/~OMRO WI 54963-0
Date 11/18/2002
Date
Telephone Number 920-685-2387
--~ City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THF WATER
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
I£ you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
(£ you want this processed through your account []
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family F1Duplex F1Multi-Family F1Rental
SERVICE F1New DTemporary TYPE
[:]Change F1Not Applicable
[:]Commercial nlndustrial
nOverhead [:]Not Applicable
FlUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range FlDishwasher FIGarbage Disposal
mFan OR Blower []Furnace l-lA/C
mMotors [:]Gas Pumps F1Other
DESCRIPTION OF ALL WORK BEING DONE gr~ q.5 ~-~ [ a/
[:]Dryer FlWater Heater
nElectric Sign
VALUE (Including labor and all mslflrials includinJF}ig~t fixtures)
AN x
MASTER ELECTRICI /~~,~_.--~~
3/02