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HomeMy WebLinkAbout0106130-Plumbing (water heater)OSHKOSH ON THE WATER .lob Address 925 MONROE ST Contractor SOPER PLUMBING Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 1 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JULIE AWAGNER Category 411 - Residential-Water Heaters No 106130 Create Date 01/21/2004 Plan Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 EyeWash Statn 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work Replace gas power-vent water heater. Sanitary Sewer Storm Sewer Water Service Size Material Type # 0 0 0 0 0 0 0 Conn. Type Valuation $750.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Parcel Id # 1107890000 Date 01/21/2004 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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903 -1130 Phone: (920) 236 -5050 Fax: (920) 236 -5084 O.IHKOlH ON THE WATER Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s) and fee(s) can be brought to City Hall, 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, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account fl Job Address 9074' Atsa.v a 4. Value (Including labor and materials) 7a OO Date /— ©9' Owner 41W:ie./d u/, Contractor JJSingle Family ❑Duplex ❑Multi- Family DRental ❑Commercial ❑Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory Dishwasher Drink Ftn Catch Basin Toilet Sump Pump Wait. St. Wash Ftn Res. Sink Ejector /Grind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater / Local Waste Sculry Sink Soda Disp ❑ Gas 0 Elec9i4 PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Sery Sink Site Drain Lndry Tray Classrm Sink Int Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink P Breakrm Sink R.P.Z. Valve Eye Wash Stn Sterilizer Electric Contractor OR DElectric Installation Verification form attached (If Replacement) Use / Nature of Work ier1eeite67.v1~i Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 7/03 City of Oshkosh Division of Inspection Services 215 Church Aven~e PO Boz 1130 Oshkosh WI 54903-1130 Office 920-236-5050 Fax 920-236-5084 Electric Installation Verification I (We) (Electrical Contractor Name) (Address) (City) have been contracted to perform electric installation work for ar the following address: (State) (Zip Code] (Name of party contracted to~ (Address where work will be performed) The nature of the work consists of.' (Check One or Describe the Nature of Work) Reconnection er nevi circuit for replacement Heating Plmnt and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable. Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Recormection or new circuit for the replacement of other permanently wired appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $ I hereby verify this ;vork will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. / (Signature ~ompany Of:ce~'~ (Phnt Name of Officer} (Date) 5/02