HomeMy WebLinkAbout2003-Electric (water heater)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1255 WALNUT ST
ZIMMER ELECTRIC LLC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHELLE L HOWE
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100740
Create Date 04/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR / Add recp for power vented gas water heater.
Work
Fees: Valuation
Issued By:
$50.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/10/2003
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
FRSM : 'Z~'~n~r- Electric LLC
City of O~hkosh
Division of Inspection Servtces
Oshkosh. W! 54903-I 130
Phone (920) 236-5050
Fax (920) 236-50&4
PHONE NO. : 9206852386
Apr. 09 2003 08:28PM P1
Q/HKO/H
All inZorma~on after bold categories must be provided.
l~*'omptcte applications will not be processed.
· Application(s) and/be(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal perrmt fee, which ever is greater.
OR
]~.o_u are ,a ~ontractOr ~a. rticiaating in ~tte Permit Fee dc,count System at~d Ifav~. ade~uat~ £und$. ch~qk her
[f.~ou wont tlt,is l~rO_Cessed throug~ your qccouT~ ,~ ' --
Jou A D ss / 2 5- 5- N d^
CHECK I~ ALL APPLICABLE
USE CATEGORY
~[~ingle Family ~Duplex
ClMulti-Family
SERVICE C3New l-lTemporary
13Change ~No~ Applicable
l'lRental
TYPE
~Commercial ~Ifldu,~al
13Overbid [~Not Applicable
I~Underground
FILL IN TIlE ,aPPROPRIATE BLANK WITH THE ~
Volts / Receptacles # .... Circuits #
Phase
Amps Switches # Fixtures #
CIiECK 101 ALL APPLICABLE
ClRange ClDiahwasher ElGarbage Disposal ElDryer FIWater Heater
L'IFan OR Blower [3Furnace EIA/C l~l~lectric Sign
r'IMotors [~Gas Pumps c'lOftier
VALUE (Including iabo~ and all matc '~s including light flxturcs) $.
5'O