HomeMy WebLinkAbout0106794 POSHKOSH
ON THE WATER
JobAddres$ 1120-1128 N MAIN ST
Contractor MERTEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PHAN XIONG
Category 441 - Industrial-Water Heaters
No 106794
Create Date 03/05/2004
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
of Work
N MAIN / ELECTRIC WATER HEATER*EIV WITZKE
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $699.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Parcel Id #
1003680000
Date 03/05/2004
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 1076 COZY LN OSHKOSH WI 54901 - 0000 Telephone Number
231-6795
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.
MAR. 5.2004 9:42AM NITZKE ELECTRIC N0.~24 P.1/1
Electric InstallatiOn Verification
(Bl¢ctrical Conirac~or Name)
(Ad~s) (CiW) (S~ate) (~p Code)
(Ad~ wh~ work ~11
The nature of the work consists cf,' (Check One or Describe the Nature of Work)
--.-.- Recormection or n~w circuit for replac~ncm Heet~tl§ Plant and/or A/C Condenser.
~ Recouacc~ionorne~vcircuit forreptacement Blect~c Wa~er Heater or power ven~ed
w~ter heater.
Recormectio~ of thc Service Entrance Cable, Meter Box, altcrations to receptacles
and lighting fixtures due to sifting / soffit instaltation. Note: New Service
Entrance Cables will mqnirc a separate perrnlt.
Kaconnection or new circuit for the replacement of other permanently w~red
appliances / fixtures.
New circuit'for thc addition of A/C to an individual dwell~g unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value oftl
I hereby verify this work will be performed by an employee of this company and further verify
the reconnect/on / installer/on will be done in compliance w~th manufacturer and Electric code
requirements,
(Signature of Company Officer)
~rint N~n~ of Officer)
(Date)