HomeMy WebLinkAbout0099503-Electric (service change) CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 416 FULTON AVE Owner LEE J TRITT
Contractor ZIMMER ELECTRIC LLC Category 634- Residential-Service Change
Service ~) New · Change ~) Temp I Type ~) Overhead
Volts 120/240 Circuits 0
Amps 100 Switches 0
No 99503
Create Date 01/20/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ RENTAL/ Service change from 60amp to 100amp. Addition of recps in kitchen and bathroom.
Work
Fees: Valuation
Issued By: ~
$600.00 Plan Approval $0.00 Permit Fee Paid $25.00
Date 01/20/2003
- r~ Permit Void___~ed_ J
/
In the perfo~[ma~ce of thin'work I agree t.~rform all work pursuant to rules goveming the described construction.
Signature V ~"~>'?' )/'~ ~~
[ ~ ~ Agen~O~er
Address 400 ESCO~ST ~ OMRO WI ~963 0
Date //~---c~j~ 2
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 S.vstem and have adequate funds, check here
if .vou want this processed through your account []
JOb A Dm SS
OW R L
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
J~lSingle Family
SERVICE F1New
~hange
r-IDuplex F1Multi-Family
FITemporary
FINot Applicable
[]Rental DCommercial Fllndustrial
TYPE J2~Overhead FINot Applicable
r-lUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / ;Z ~> / ,~. ~/co Receptacles # Circuits #
Phase /:-~
Amps /~>~ Switches # Fixtures #
CHECK [] ALL APPLICABLE
FIRange F1DishWasher r-IGarbage Disposal FIDryer
F1Fan OR Blower FIFurnace FIA/C FIElectric Sign
[] Motors [] Gas Pumps [] Other
DESCRIPTION OF ALL WORK BEING DONE J-~'~,'-rr~,. c~^O-.e~ ~"~" /~d>
FlWater Heater
VALIJI~ (Including labor and all m/~erials ineT~ ~
MASTER ELECTRICIAN ~/~/~ u/~light fixtures) $
3/02