HomeMy WebLinkAbout0100922-Electric (kitchen remodel)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1201 WAUGOO AVE
ZIMMER ELECTRIC LLC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner EDSEL LABILLOIS & LISA STEFFENS
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100922
Create Date 04/17/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Add receptacles in kitchen for remodel.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/23/2003
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
F~M : Zimmer Electric LLC PHONE NO, : 9206852386 Apr. 22 2003 09:51PM P2
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI $4903-1130
Phoue (920) 236-5050
Fax (920) 236-5084
O/HKOYH
Ot~ T~F W^~'E~
ELECTRICAL PERMIT APPLICATION
All information after bold cntcgori=s must be provided.
Incomplete applications will not be pro~ssed.
· Application(s) and fee(s) can be brought to City Hall, Rooro 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 $100.00 plus
normal permit fee, which ever is greater.
OR
!f you arq a contractor participating in the Permi_~F. ee ~tccount System and have adequate_£u_n_d$, check here
if you want this processed throufi.h.. Your account
CI:]O~CK I~ ALL APPLICABLE
g E CATEGORY
ingle Family
SERVICE nNew
OChange
EIDuplex nMulti-Family
VIT~nnporary
~Not Applicable
I-IRental VIConunercial VlIndustrial
TYPE nOverhead IZINot Applicable
I-IUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # .... Circuits
Phase
Amps Switches # Fixtures
CHECK [] ALL APPLICABLE
I~Range EIDishwasher [3Garbage Disposal EIDrycr IZWater Heater
~Fan OR Blower VIFumace EIMC I-IElectric Sign
E3Motors IZ]Gas Pumps VlOther
ALL r, /,/d
/¥
VALUE (Including labor and all mat~als includ~ light fixtures)
~"00. oD
3/02