HomeMy WebLinkAbout0099650-Electric (service change) CITY OF'"OSH KOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 629 CEAPE AVE Owner LEE J TRITT
Contractor ZIMMER ELECTRIC LLC Category 634- Residential-Service Change
Service ~) New i~l Change (~ Temp 1 Type _(~)~_ Overhead
Volts 120 / 240 Circuits 0
Am ps 100 Switches 0
Appliances
No 99650
Create Date 02/03/2003
Plan
~ Underground
Fixtures
Receptacles
Use/Nature of DUPLEX / 60 to 100 amp service upgrade
Work
Fees: Valuation $1,600.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: ~
Date 02/03/2003
[] Permit Voided
In the performanc~ of this work I~gree to perform all work pursuant to rules governing the described construction.
/ AgenV~ner
Address 400 E SCOTT ST OMRO WI 54963 - 0 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
OW R / Ir'
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[]Single Family d~Duplex
[] Multi-Family
•Rental F1Commercial []Industrial
SERVICE I-1New
~rChange
[:]Temporary
l-INot Applicable
TYPE ~0verhead
[•Underground
nNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / J', ~ / ,]', ~ Receptacles # Circuits #
Phase / ~
Amps /~;~ Switches # Fixtures #
CHECK [] ALL APPLICABLE
EIRange F1Dishwasher F1Garbage Disposal UIDryer
FIFan OR Blower F1Fumace EIA/C FIElectric Sign
mMotors F'lGas Pumps []Other
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE(In¢ludinglabor,nd,ll?erialsin~in, lightfixtures)$/~..~
3/02