HomeMy WebLinkAbout0099560-Electric (service upgrade)OSHKOSH
ON THE WATER
,Job Address 113 W 15TH AVE
Contractor ZIMMER ELECTRIC LLC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CHERYL E KALISHEK
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99560
Create Date 01/23/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/100 amp Service Change
Work
Fees: Valuation
Issued By:
$800.00
Plan Approval
$0.00 Permit Fee Paid
$35.00
Date 01/23/2003
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 400 E SCOTT ST OMRO WI 54963 - 0 Telephone Number
920-685-2387
OSHKOSH
ON THE WATER
Job Address 113 W 15TH AVE
Contractor Z~MMER ELECTRIC LLC
Service ~ New ~t Change
Volts 120 / 240
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
(~) Temp
Owner CHERYL E KALISHEK
category 634- Residential-Service Change
I Type ~ Overhead
Circuits 0
Switches 0
No 99560
Create Date 01/23/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/100 amp Service Change
Work
Fees: Valuation
Issued By: ~
$800.00 Plan Approval $0.00 Permit Fee Paid
$35.00
Date 01/23/2003
[] Permit Voided
,4
In the performance/.~t~is work I agree to perform all work pursuant to rules governing the described construction.
Signature
~'" // Agent/Owner
Address 400 E SCOTT 5¢T OMRO 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
O/HKO/H
ON TFIF k~ATER
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
if you want this processed through your account []
DATE //'/~ ~2/~.~
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family r-IDuplex []Multi-Family
SERVICE F1New [:]Temporary
~]lEhange [3Not Applicable
EIRental
TYPE
[]Commercial lZllndustrial
gl0verhead F1Not Applicable
I-IUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / J. 0 / Lc/L~ Receptacles # Circuits #
Phase / C2~
Amps / f~O Switches # Fixtures #
CHECK [] ALL APPLICABLE
[3Range EIDishwasher FIGarbage Disposal
EIFan OR Blower FIFumace [3A/C
ElMotors []Gas Pumps [2Other
DESCRIPTION OF ALL WORK BEING DONE
FIDryer [3Water Heater
[3Electric Sign
VALUE (Including labor and ~terials i~g light fixtures) _$ 0~0d;9- O0
3/02