HomeMy WebLinkAbout2004-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1317 SOUTHLAND AVE
Contractor J RASMUSSEN PLUMBING INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner D & F INVESTMENTS OF OSHKOSH LLP
Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0
Whirlpool 0 Floor Drain 0 Water Softner 0
Lavatory 0 Lndry Tray 0 LocaIWaste 0
Toilet 0 Lndry Stndp 0 CIothesWshr 0
Res. Sink 0 Disposal 0 Bidet 0
Bar Sink 0 Dishwasher 0 Beer Tap 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0
Site Drain 0 Classrm Sink 0 Lab Sink 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0
No 107402
Create Date 04/13/2004
Plan
Dip Well 0 F Prep Sink 0 Gar Drain 0
Drink Ftn 0 Serv Sink 0 Soda Disp 0
Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Hand Sink 0 Urinal 0 EyeWash Statn 0
Plaster Sink 0 Standp Rec 0
Surgeons Sink 0 Ice Maker 0
Use/Nature RENTAL / REPLACE GAS WATER HEATER*EIV DREXLER ELECTRIC
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material
Type
#
0
0
0
0
0
0
0
Conn. Type
Valuation $4,000.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Parcel Id #
0608771900
Date 04/13/2004
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.
04/10/2004 86:23
2336747
J RASNUSSEN PAGE 02/02
Electric .Installation Verification
at the following address:
/ 3/7
(Address wh~'~ work will be perfon~)
The nature of the work consists o£: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new cir~fit for r~l~t Elec~c Wat~ Heater.
..... Reco~ection of the Semite Encee Cable, Met~ Box, alterations lo rec~tacles ~d
lighting fixings due to siding / soffit installation. Note: New Semite Enhance
C~lcs will muire a ~pame pcmit.
~ R~m~tion or new circuit for oth~ p~cntly Mrcd appli~ces / fixture~.
~hcr
The value of this work is $ /,.~' ~ __.
I hereby verify this work will bc performed by an employee of this company and further verify thc
reeonnection / installation will be done in compliance with manufacturer and Elec~'ic code
requirements.
(Print Name of Officer) (Date)