HomeMy WebLinkAbout0106848-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2130 ALLERTON DR
Contractor WELLNITZ PLUMBING
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 MR/MRS RICHARD ROBL
Category 411 - Residential-Water Heaters
No 106848
Create Date 03/10/2004
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoffner 0 DrinkFtn 0 ServSink 0 SodaDisp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 ClothesWshr 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 WashStatn 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 52 GAL ELEC WTR HTR
EIV FROM SECKAR ELEC
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 $475.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Parcel Id #
1317410000
Date 03/10/2004
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 4810AMBERWOOD LN APPLETON WI 54915 - 0000 Telephone Number
(O)231-7390
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.
FAX NO. :9205824909 S~p. ~9 ~0~ 09:45AM Pi
FROM :
ElectFic Installation Veflfic Oon
have been contracted to perform electric installation work for{/,J~-~c..A~./'C%. ~O/~ I~(~
(Neme of peny conum:t~l to)
(Address where work will b~ i~formed)
The nature of the work consists of: (Check One or Describe the Natu~ of Work)
Recorm¢ction or n~w circuit for rcpla~cmcm H~mting Plant and/or AIC Condenser.
"'.'_~ Rcconnection or new circuit for replac~m~at Electric Warm' H~at~c.
Reconnection of the $crvlce ~nu'ance Cable, l'viezer Box; alterations to receptacles and
lighting fixtures due to siding I soffit ~,~t~ll~tio~ Not~: ~ S~rvic= Enmm~
Cabi~ will r~quire a r,~parat¢ p~'mit.
Rccormc~tion or new circuit for othc'r p=,,,,~ncntly winM appliances / fixtures.
other
Thc value of this'work is $/~ 0: O. o
I hereby verify this work will be performed by an cmploycm of this company and fi~th~ vefi~y thc
rcconncction / installation will bc don~ in compliance with. manufacturer and ~l~tfic cod¢
requirements.
($i~atur~ 0f Company Ofticer) (Print Same of Ome,,) (Date~