HomeMy WebLinkAbout0106784-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 441 - Industrial-Water Heaters
No 106784
Create Date 03/04/2004
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 INSTALL ELEC WTR HTR AT 276-B N CAMPBELL RD* Cumings Electric EIV form attached.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Parcel Id #
0608040000
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 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.
OSHKOSH
ON THE WATER
.lob Address 240-288 N CAMPBELL RD
Contractor J RASMUSSEN PLUMBING INC
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 1 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RIVERWATCH LLC
Category 441 - Industrial-Water Heaters
No 106784
Create Date 03/04/2004
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
INSTALL ELEC WTR HTR AT 276-B N CAMPBELL RD
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Parcel Id #
0608040000
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 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.
89/85/2884 06:58
2336747
J RASMUSSEN
02/02
Electric Installation Verification
~ (w~)
~l~iricsl Con.actor Nemc)
(Address) (City)
have bc~n contracted ~o perform electric instaliatio~ work for
mtthefoilow~ 276 ~ CA~PBgLL RD
(Zip Code)
(Nem~ ofper~ contrected to)
(Add~.ss where work will be performed)
The natur~ of tho wod consist~ of:. (Check One or Dcscn~e tho Nature of Wo~)
Recormcct/on ornew ci~uit for replacement Heati~ Pl~t andf~ A/C ~
Reconnccgon or new c/rcu~ for rephcmncut l~lec~r/o Wa~er Heat~ or pow~ vmtmf
Reconncdion ofthe Servi~ P. ah ~.~ Cable, M~cr Box, ~li~ ~n~ to re-x~es
end lighting fixtures duc to s~ai,,~ / mffit inml~on. Note: New Savicc
E.t,~ce Cebles ~ r~luire a ~epsmte pmmit
appl/ance~ ! fixtmcs.
Ncw c/~d/t for the ~ldi~u of MC to an i#d'~tmd d~el//~ ua/f ~ouse or ~he
ind/vldual systems in a duplex or condominium), includizt~ requ/red serv/ce
ckctrlcal out.~s.
Othcr
CONNECT ~7 'JAi'm~ HEAT~.,~
The.vahc of this work is $ ' 50.00
I hercby vcrif'y this work will be performed by an employee ofthls company and furthcr vc~i£y
the reconncction / installation will be doric in compliance with ma~ufacturcr and ~lectfic codc
(l~r~nt Nm~lC 0f Ofllcer)
3/2/04