HomeMy WebLinkAbout0099649-Electric(~ CIT~Y OF OSHKOSH No 99649
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2065 WHITE SWAN DR Owner MICHAEL J/CAROL PRUETT Create Date 01/22/2003
Contractor ZIMMER ELECTRIC LLC Category 612 - Residential-Single Family Addition/R Plan
Service ~:~ New (~ Change (~ Temp I Type ~) Overhead (~ Underground I
Volts 120 / 240 Circuits 0 Fixtures 0
Am ps 0 Switches 2 Receptacles I
Appliances
Use/Nature of SFR/ Remodel bathroom to include removing a non Icad bearing wall between two existing bathrooms to convert to I bathroom.
Work
Fees: Valuation
Issued By: ~
$300.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 02/03/2003
[] Permit Voided i
In the performan,C/ee~f this w,e~gree to perform all work pursuant to rules governing the described construction.
Agent/Owner
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 WATER
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 I28,
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 []
OW R P c
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family l"IDuplex mMulti-Family F'lRental
SERVICE [3New U1Temporary TYPE
I-1Change EINot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V1Commercial Vllndustrial
F1Overhead F1Not Applicable
F1Underground
Volts / }-,~ / o~ ~/7 Receptacles # / Circuits #
Phase /~
Amps ? Switches # ~ Fixtures #
CHECK ~ ALL APPLICABLE
[3Range [3Dishwasher F1Garbage Disposal F1Dryer
FIFan OR Blower [3Furnace VIA/C VIElectric Sign
V1Motors []Gas Pumps ~[Other
[3Water Heater
DESCRIPTION OF ALL WORK BEING DONE
3/02