HomeMy WebLinkAbout0100329-ElectricOSHKOSH
ON THE WATER
Job Address 1115 LAAGER LN
Contractor ZIMMER ELECTRIC LLC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JESSE/CHRISTINE GEFFERS
Category 612 - Residential-Single Family Addition/Ret
Amps 200
~) Temp
Type I~ Overhead
Circuits 2
Switches 6
No 100329
Create Date 02/19/2003
Plan
~ Underground
Fixtures
Receptacles
3
18
Appliances
Use/Nature of SFR/Basement wiring for complete finish off.
Work
Fees: Valuation
Issued By:
$600.00 Plan Approval
$0.00 Permit Fee Paid
$25.00
Date 03/21/2003
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
~ FRD~ : Zimmer Electric LLC PHONE NO. : 92068523@B Hat. 19 2003 04:20PH P1
CiW of Oshkosh
Division of Inspection Services
P.O. Box I 130
Oshkosh, WI 54903-1130
Pho~ (9203 236-5050
Fax (920) 236-$0M
O_/HKO./H
ON r~F
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provi&:d,
Incomplete applications will not be processed.
Application(s) ~d fee(s) c~ be bmu~t to CiW Hall, R~m 205 or ~iled to ~specfion S~ices, PO ~x 1128,
O~kosh WI 5~3-112& Coercing work wit~ut ~it(s) ~11 result m fe~ ~mg doubled or $1~.~ pl~ the
no~ p~it fee, which ~cr is ~eater.
OR
lf ~gu are a contractor participa~in~ in the Permit ~e~ Account S~stem and ha~e adequate fund~, chec_k here
if you want.this processed tkrough ~ou'r accoun~ ~
CHECK OI ALL APPLICABLE
USE CATEGORY
~mgle Family E3Duplex UlMulti-Family
SERVICE EINew VJTemporary
EIChange I~lqot Applicable
VIRental
TYPE
~Commcrcial [3Industrial
DOverhead ~Not Applicable
VIUnd~rground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts t~-u / ~ ~ Receptacles #-~/Of/
Phase [ ~
Amps ~ , Switches# ~
Circuits #. 2
Fixtures # ,~
CHECK [] ALL APPLICABLE
VIRange [~Dishwasher v1Oarbage Disposal
ElFan OR Blower I~Fumace DA/C
OMotors VIGas Pumps DOthcr
DESCRIPTION OF ALL WORK BEING DONE ~ 3'.~. ~ e..h~L
VIDryer VlWater Heater
VIElcctri¢ Sign
VALUE (I.¢]~ding labor and all laat~-i-I$
~S~R ELECT~CI~~ g
S/02