HomeMy WebLinkAbout0100649-Electric (riser)OSHKOSH
ON THE WATER
.lob Address 1417 WESTERN ST
Contractor ZIMMER ELECTRIC LLC
Service [~ New (~ Change
Volts 120/24
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CHAD C/HOLLY R LARSON
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100649
Create Date 04/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Repair overhead riser wire.
Work
Fees: Valuation
Issued By:
$200.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/04/2003
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
FROM : Zimmer E)ectwic LLC PHONE ND. : 9206852386 Apr. 03 2003 08:08PM P1
Civ~ of Oshkosh
Division oflnst>ec~ion Services
P.O. Box 1130
Oshkosh, WI 54903- I 130
Phone (920) 236-5050
Fax (920) 236-501M
ELECTRICAL PERMIT APPLICATION
All information after bold catcgolics llmst be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Flail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128.. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, whioh ever is greater.
OR
If you arc a contr,actor particioating in th~. Permit, E~e ,4ccount S, vsrem and have adea~a~¢ funds, che~k here
if. you want ,this processed throu~,h your acc,,ount
JOB ADDRESS / iff/
CHgCK [] ALL APPLICABLE
USE CATRGORy
ElSingl¢ Family r'lDupl~x VIMulti-Family
SERVICE ElNew V1Tempolary
I'qChange [3Not Applicable
DRental EICommercial Dlndustrial
TYPE ~Overhead VINot APplicable
l~Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /~-c; / ~- ~ Reeeptncles #
Phase t ~
Amps / Oc, Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
ElRange r-IDishwasher V1Garbage Disposal
EIFan OR Blower VIFumace CIA/C
~Motors El G-as Pumps ClOt.her
DESCRIPTION OF ALL WORK BEING DONE ~e/~a i,~'
/
EIDrycr DWater Hca~er
EIElectric Sign
VALUE (Iacluding labor and al~t:~als ~iag light fixtures)$ ~l.O~
MASTER ELECTRICLA~V'"-/_.~..~-~.~.
3/02