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Home My WebLink About0099903 VOIDOSHKOSH ON THE WATER .lob Address 2728 HAMILTON ST Contractor ZIMMER ELECTRIC LLC Service [~ New (~ Change Volts 120 / 240 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Amps 200 ~ Temp No 99903 VOID Owner Category WAYNE A/GAlL A MEYER 612 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 0 Switches 0 Create Date 02/21/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/Add receptacles in basement Work Fees: Valuation Issued By: $300.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 02/21/2003 Permit Voided I Job Cancelled 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 .lob Address 2728 HAMILTON ST Contractor ZIMMER ELECTRIC LLC Service [~ New (~ Change Volts 120 / 240 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner WAYNE A/GAlL A MEYER Category 612 - Residential-Single Family Addition/Ret Amps 200 ~ Temp Type I~ Overhead Circuits 0 Switches 0 No 99903 Create Date 02/21/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/Add receptacles in basement Work Fees: Valuation Issued By: $300.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 02/21/2003 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 2728 HAMILTON ST Contractor ZIMMER ELECTRIC LLC Service ~) New C) Change Volts 120 / 240 CITY OF OSHKOSH Amps 200 ELECTRIC PERMIT - APPLICATION AND RECORD (~)Temp Owner Category WAYNE A/GAlL A MEYER 612 - Residential-Single Family Addition/R Type ~ Overhead Circuits 0 Switches 0 No 99903 Create Date 02/21/2003 Plan (~) U ndergr_o_u_n_.d_ .......... J Fixtures 0 Receptacles 4 Appliances Use/Nature of SFR/Add receptacles in basement Work Fees: Valuation Issued BY: / $300.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 02/21/2003 [] Permit Voided in the performance or. work I ag~orm all work pursuant to rules governing the described construction. S,gnature ' a,e ,~ ~ AgenFOwner 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 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O_/HKO_/H ON THF ",~VATER · 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 [] DATE ~L//'/' )//~5 5 JoB Dm SS 2 ? S'¢ CONTRACTOR '7_~t/'/~ ~'f.. ~/'ec4~-,'¢ C L (~ CHECK [] ALL APPLICABLE USE CATEGORY Single Family VIDuplex V1Multi-Family SERVICE F1New F1Temporary F1Change ~Not Applicable V1Rental TYPE FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts /)- c~/Z~ 69 Receptacles # 7 Phase / 4~ Amps oTc~O Switches # VICommercial Fllndustrial F1Overhead V1Not Applicable F1Underground Circuits # Fixtures # CHECK I~I ALL APPLICABLE F1Range FIDishwasher DFan OR Blower VIFumace I'-lMotors V1Gas Pumps V1Garbage Disposal EIA/C F1Other F1Dryer F1Electric Sign FIWater Heater DESCRIPTION OF ALL WORK BEING DONE VALUE (Including labor and ayes including light fixtures) MASTER ELECTRICIAN ~~. 3/02