HomeMy WebLinkAbout0098872-Electric (misc)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 1517 GRAHAM AVE Owner
Contractor ZIMMER ELECTRIC LLC Category
Service ~) New (~ Change (~)'amp I
Volts Circuits
Amps 0 Switches
STEVEN R JUNGWIRTH
612 ~ Residential-Single Family Addition/R
Type (~) Overhead
0
0
No 98872
Create Date 12/02/2002
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install bath fan, repair switches & repair receptacles.
Work
Fees: Valuation
Issued By:
$250.00 Plan Approval
$0.00 Permit Fee Paid $20.00
[] Permit Voided
Date 12/02/2002
In the perfe~m/nce ~of~ work, agree~/e~.al, ~wo~ p.~ursuant to rules governing the described construction.
Signature ~ ~~ --f //x'~"l./'-~'~' ~ Date
/ ~ // Agent/OWner
eMRO WI 54963 - 0
Address 400 E SCOTT ST ~ 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 W^T~R
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
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 Da SS / 5' / 7 £4
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
F1Single Family {~t~uplex
F1Multi-Family
SERVICE FINew F1Temporary
F1Change ~J~'Not Applicable
F1Rental
TYPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
F1Commercial Fllndustrial
FIOverhead ~ot Applicable
FIUnderground
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FIRange FIDishwasher F1Garbage Disposal
F1Fan OR Blower FIFumace E3A/C
F1Motors F1Gas Pumps F1Other
DESCRIPTION OF ALL WORKBEING DONE ~c >, //
FIDryer F1Water Heater
I=IElectric Sign
· all~aterials inclu~ht fixtures) $_ c~ 70 "~'-"
VALUE (Including labor and .
MASTER E LE C TRI C I ~//:b~'Z~~-~
3/02