HomeMy WebLinkAbout0130780-Electrici~ CITY OF OSHKOSH No 13o7so
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1551 SOUTHLAND AVE Owner ELIJAH'S PLACE Create Date 05/28/2008
Contractor ZIMMER ELECTRIC INC Category 643 -Commercial-Addition/Remodels Plan
Service New ~ Change (~ Temp ~ N/A Type (~ Overhead ~ Underground
Volts Circuits Luminaires
GPs Switches Receptacles
Appliances
Use/Nature of
Work
-replace
install laminate on walls behind counters.
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: ~ Date 06/20/2008
^ Permit Voided ~ Parcel Id # 0611420000
In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit appliption within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 751 E RIVER DR OMRO WI 54963 - 1105 Telephone Number (920) 685-2387
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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.
01HK0 H
ON THE WATER
• Application(s) and fee(s) can be brought to City Hali, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1.128. 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 narticinating in the Permit Fee Account System and have adequate funds check here
~f you want this processed through vour account ^
DATE
CHECK m ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change ONot Applicable
^Rental ~`.C~mmercial ^Industrial
TYPE ^Overhead ^Not Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
CHECK ®ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
DESCRIPTION OF A~,L WORK
Circuits #
Fixtures #
^Dryer ^Water Heater
^Electric Sign
VALUE (Including labor and all materials including light fixtures) ~_ ! add pC~
MASTER ELECTRICIAN
Receptacles #
Switches #
^Garbage Disposal
^A/C
^Other
3/02
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