HomeMy WebLinkAbout0099210-Electric (upgrade)OSHKOSH
ON THE WATER
Job Address 836 W 10TH AVE
Contractor ZIMMER ELECTRIC LLC
Service ~) New
Volts 120 / 240
Am ps 100
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner DOLORES W NELSON
Category 634 ~ Residential-Service Change
No 99210
Change (~) Temp
Circuits
Switches
Create Date 12/27/2002
Plan
Type ~) Overhe_.ad ~) Underground
0 Fixtures
0 Receptacles
Appliances
Use/Nature of ;FPJService change 60 to 100 amp
Work
Fees: Valuation
Issued By: /
$500.00 Plan ApProval $0.00 Permit Fee Paid $20.00
Date 12/27/2002
[] Permit Voided
In the performanZf this wor~ to perform all work pursuant to rules governing the described construction.
Signature .~
/./ ^gen Owner
Address 400 E SCOT'I~T eMRO WI ,54963 - 0
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
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O_/HKO/H
ON THF WATER
· 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 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 []
JOB ADDRESS
OWNER ~ ~ IV
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[~Sjngle Family I"lDuplex l-lMulti-Family
SERVICE F1New F1Temporary
hange ElNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Jo~i) i ).t~ Receptacles #
Phase /
Amps /ff~ Switches #
i-IRental
TYPE
F1Commercial Fllndustrial
[~0verhead ElNot Applicable
EIUnderground
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
i-lRange [3Dishwasher
I"lFan OR Blower l"lFumace
r-IMotors l"lGas Pumps
F1Garbage Disposal EIDryer
EIA/C EIElectric Sign
F1Other
F1Water Heater
DESCRIPTION OF ALL WORK BEING OONE ~c~erv~r~- ¢>~-n c'.- rd'? ~, /?(?C>ffx,,,,D
, :
3/02