HomeMy WebLinkAbout0099031-Electric (convert to single family)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
562 BOYD ST Owner DAVID M CECH
ZIMMER ELECTRIC LLC Category 634- Residential-Service Change
~ New O Change (~ Temp I Type (~ Overhead
Circuits 0
Amps 0 Switches 0
No 99031
Create Date 12/11/2002
Plan
~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Adding receptacles, combining services to one meter. *(converted duplex to single family)
Work
Fees: Valuation
Issued By: ~
$400.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 12/11/2002
[] Permit Voided J
In the performan~of this work ~--~pe..rfo_.r~ll work pursuant to rules governing the described construction.
Signature /~/j~/ ~ ~ // ~~
Address 400 E SCOTT ST~ OMRO WI ~963 - 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 \¥ATER
· 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_f ¥o'u are a contractor participating in the Permit Fee Account System and have adequate £unds, check here
if you want this processed through your account []
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
6~Single Family F1Duplex F1Multi-Family FIRental
SERVICE [3New [3Temporary TYPE
[3Change ~ot Applicable
FICommercial Fllndustrial
EIOverhead [~Not Applicable
FIUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # ~v
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
EIRange [3Dishwasher FIGarbage Disposal DDryer FlWater Heater
EIFan OR Blower EIFumace EIA/C FIElectric Sign
F1Motors F1Gas Pumps ElOther _
DESCRIPTION OF ALL WORK BEING DONE t~Yz~9;~35 ~e(~f /'~ C/[/c,f.~ (.~-4~ ~ ,~,~ i'35
VALUE (Including labor and all ~aaterials including light fixtures)
MASTER ELECTRICIAN~ /~
3/02