HomeMy WebLinkAbout0107285 POSHKOSH
ON THE WATER
.lob Address 2850 UNIVERSAL ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner R A SMITH & ASSOCIATES INC
Category 441 - Industrial-Water Heaters
No 107285
Create Date 04/06/2004
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
of Work
INSTALL ELEC WTR HTR
*EIV BALL 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 $615.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Parcel Id #
1329000200
Date 04/06~2004
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number
920-733-8125
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
From: ^TTERS PLUMING 920 27 3
04/05/2004 09:22 #492 P.O09/O0
Electric Installation Verification
(Addre~) J (City) (81~te) . (~Jp Code)
have be~n oonlraaed to perform cl~tric installation work for ,, /'~-/"~' 'c~' ,~ ~"_,~/ ,
(Name e£p~r~, contracted to)'
at thc following address: .... :'~,i~"'~' ~,~.~.//Z/~,'~(,?'~ gK ~ · , .
(Addr~a wh~e work will be perfol~l~d)
The nature of the work consists'of: .(Check One or Desc~bc the Nature o£Work)
~b~Reconuect/on or new cheuit for replacement Heating Plant and/or A/C Condenser.
~,onne~fion or new dreuit for replacement Electric w~er Heat~ or !~w~r ven~d
water heate~.
Recormeolion of the Service Entnmce Cable, Meter Box, alt~aGons to receptacles
and lighting fixtures due to aiding / soffit installation. Note: New Sm'vice '
Bntranee Cables will requir~ a separate permit.
~ R~orm$ction or new circuit for the repleccment of other p~mmme, z,.tly wired
appliances I fixtures.
..... New circuit fei' the addition of A/C to an ~fft~idua! d~ell/,g ~n/¢ (hous~ or the
individual systems in a duplex or condominium), including required service
city, Heal outlets.
~ Other
The value Of this work is $ //~( .~. 2,~"'' .'"
I hereby verify this wo~k will be performed by an employee of this company and further V~rify
the reconnection / installation will be done in compliance with manufaolurer and Electric code
r~luir~nexRs.
(Signature efeCorspany 0 leer) (Prlnt Name of Officer)