HomeMy WebLinkAbout0100102-ElectricOSHKOSH
ON THE WATER
.lob Address 1618 SHERIDAN ST
Contractor ZIMMER ELECTRIC LLC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner REBECCA A HACKETT
Category 612 - Residential-Single Family Addition/Ret
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100102
Create Date 02/26/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for bathroom remodel.
Work
Fees: Valuation
Issued By:
$1,000.00
Plan Approval
$0.00 Permit Fee Paid
$45.00
Date 03/07/2003
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
F~OF1 : Zimmer Electric LLC PHONE NO. : 9206852386 Mar. 06 2003 07:22AM P1
Ci~ of Oshkosh
Division of Inspection Services
P.O. Box t 130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 236-$084
O./HKQ/H
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 CiVJ Hall, Room 205 or mailed to Inspect'ion Services, PO Box 1128,
Oshkosh WI 54903-1125. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is grealcr.
OR
If you are a cOtttractor participatin~ in' the Perrni&F~ee .4Ccount System and have adequate [und$, check here.
CH~CK I~ ALL APPLICABLE
CATZGORY
ngle Family I-1Duplcx EIMulti-Family
SERVICE U1New OTemporary
OChangc ~l~Iot Applicable
IElRentaI
TYPE
ElCorarnereial Ellndustrial
nOverhead .~ot Applicable
{3Underground
FILL IN TI~ APPROPRIATE BLANK WITH THE NUMBER
Volts ,,./
Phase
,~anps
Receptacles #
Switches #
Circuits #
Fixtures #
CItECK OI ALL APPLICABLE
ElRange EIDishwasher EIGarbage Disposal
ElFan OR Blower OFumace OA/C
I-IMotors EIGas Pumps IZlOther
ov. scmrt~oz~ OF riLL womc ~v. lna DO~V. /Y ~ ?j~ ~o~
EIDrycr rlWater Heater
l-lEIcclric Sign
VALLr]g (including labor and all ~/LtrilJs including light
MASTER ELECralC~nN, ff/-~ ~~//~.,,v~m~"