HomeMy WebLinkAbout0099875-Electric (addition)OSHKOSH
ON THE WATER
.lob Address 213 W SOUTH PARKAVE
Contractor ZIMMER ELECTRIC LLC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GEFFERS LLC
Category 643- Commercial-Addition/Remodels
Amps 100
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99875
Create Date 02/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Wiring for building addition.
Work
Fees: Valuation
Issued By:
$400.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/19/2003
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
CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 213 W SOUTH PARK AVE Owner GEFFERS LLC
Contractor ZIMMER ELECTRIC LLC Category 643 - Commercial-Addition/Remodels
Service ~ New (~ Change (~ Temp I Type (~) Overhead
?
Volts 120/240 Circuits 0
Amps 100
Switches 0
No 99875
Create Date 02/19/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of 3OMM/Wiring for building addition.
Work
Fees: Valuation
Issued By: ~[~ ~
$400.00 Plan Approval $0.00 Permit Fee Paid
$20.00
[] Permit Voided
In the performance · work I.agree t,e~rm all work pursuant to rules governing the described construction.
Signature ~, /
~ // Age~C~wner
Address 400 E SCOTT ST L./' eMRO WI 54963 0
Date 02/19/2003
Date
Telephone Number
920-685-2387
CitY 6f Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
ON THF WATER
· 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 accoun..t.. []
CHECK [] ALL APPLICABLE
USE CATEGORY
F'lSingle Family ["IDuplex mMulti-Family
SERVICE F1New VITemporary
FIChange F1Not Applicable
I"lRental
TYPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /~ 6 / 9- ~ (2 Receptacles #
Phase } ~
Amps [ ~ Switches #
ElCommercial F'llndustrial
FIOverhead FINot Applicable
ElUnderground
CircUits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range VlDishwashcr
i"lFan OR Blower VIFumace
V1Motors V1Gas Pumps
r-lGarbage Disposal FIDryer
F1A/C F1Electric Sign
[]Other
F1WaterHeater
DESCRIPTION OF ALL WORKBEINGDONE l~, ;*- /~_,q ~q/ ]~f'b.~ /,dPd; //c'f'/
VALUE (Including labor and all m~/~rials including light fixtures) $
MASTER ELECTRICIAN,/
3/02