HomeMy WebLinkAbout0090935-Electric (service change) CITY OF OSHKOSH No 90935
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2119 SHERIDAN ST Owner MICHAEL J ZIMMER ETAL Create Date 09/26/2001
Contractor LARK ELECTRIC Category 634 - Residential- Service Change Plan
Service 0 New • Change 0 Temp Type • Overhead 0 Underground
Volts 120/240 Circuits Fixtures
Amps 100 Switches Receptacles
Appliances
Use /Nature of SFR/ Permit is for re- hooking up the exterior lights and receptacles when the siding is installed and change service wire. Replace cable
Work with PVC conduit and revise ground system.
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: KW\ Date 10/30/2001
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 927 N LARK ST PO BOX 3206 OSHKOSH WI 54902 - 3347 Telephone Number (920) 231 -8625
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54-1
Fax (920) 236 -50 84 130
ON THE WATER Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE o7 6 OCT L
JOB ADDRESS 2 1 1 9 ..57/EA / D A iv
OWNER ; ,%1'/ K, Z, A 4 44ER
CONTRACTOR '4,4
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE ^ NEW HANGE> TEMPORARY NOT APPLICABLE
TYPE ! (��VRRREAD ) UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES �� R // ECEPTACLES CIRCUITS
AMPS /,e, VOLTS 120 / Z 'TD PHASE l
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE /qL 9 C £ (, 3/ A2177
P (',7". c/ / T.
A & 6.eat-r ti.o -5 E M ,
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and all er' s including light fixtures) $ ,5
MASTER ELECTRICIAN i%( l ! .--
RD,