HomeMy WebLinkAbout0099791-ElectricOSHKOSH
ON THE WATER
,Job Address 621 MONROE ST
Contractor ZIMMER ELECTRIC LLC
Service [~ New (~ Change
Volts 110/220
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL R/KlM SAWALL
Category 634- Residential-Service Change
Amps 100
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99791
Create Date 02/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of 3/12/03 service change 60-100 amps
Work
Fees: Valuation
Issued By:
$850.00
Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 02/12/2003
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 621 MONROE ST
Contractor ZIMMER ELECTRIC LLC
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner MICHAEL R/KlM SAWALL
Category 634- Residential-Service Change
No 99791
Create Date 02/12/2003
Plan
Service ~) New
Volts 110~220
Amps 100
Appliances
Change (~) Temp I Type _~verhead
Circuits 0
Switches 0
Underground
Fixtures
Receptacles
Use/Nature of 3112103 service change 60-100 amps
Work
Fees: Valuation $$50.00 Plan Approval $0.00 Permit Fee Paid $40.00
Issued By:
Date 02/12/2003
[] Permit Voided
In the performance of this ~rk I agree,'CS"~rform all work pursuant to rules governing the described construction,
Signature ~'""'?'*' ~/~'~ ~'~[/~~ Date
'~ ~' Agen~wner
Address 400 E SCOTT ST OMRO WI 54963 - 0 Telephone Number
920-685-2387