HomeMy WebLinkAbout0105979-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 240-288 N CAMPBELL RD
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RIVERWATCH LLC
Category 411 - Residential-Water Heaters
No 105979
Create Date 01/06/2004
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature MULTI-FAMILY/RENTAL/ 284 Campbell #D/ Replace electric water heater. *EIV form from Cumings Electric.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
Water Service
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
01/07/2004
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 0000 Telephone Number
920-233-6747
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
01/82/2004 11:26 2336747 J RASMUSSEN PAGE 02/82
Electric Installation Verification
(~lcc~ic:d ConWactor Name)
(airy)
bare b~ll con~ct~! ~o ga, form eleelric in.~dlafion work for
at ~ fol~
(Addre.~ wh~r~ work
Thc nalu~ ofthe woflc coasiet~ of: (Chock On0 or D e,v~'b~ the NaCre of Work)
The va/ut of bhJ~ wo~ i$ $ 80.00
I hcrcby verity tMs wonk will bo pcr~orm~l by ~ ~plo~ offs e~y ~ ~ v~fy
· e ~on / ~h~on ~11 ~ done in ~mpli~ ~ ~fae~r ~d ~e~c ~e
~21~I)103
(Prim N~e ef Officer) (Date)