HomeMy WebLinkAbout0103036-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 2050 2060 S KOELLER ST
Contractor SOPER PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner M & E RENTALS LLC
Category 441 - Industrial-Water Heaters
No 103036
Create Date 07/23/2003
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 COMM/ 2060/ Sprint Store/Replace electric water heater. *EIV form from Zimmer Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
07/23/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
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.
City of Oshkosh
Inspection Se~wices Division
POBox 1130
Oshkosh, WI 54903-t 130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perfonmnce of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [~
Job Address....~;'~:, _~,/~'.~o~ Value (Including labor and materials) ~/'~.~>~5>
Owner ~ao~'~ _.n~' Contractor . ~.~ ~,s~,~
[--]Single Family [--]Duplex [~]Multi-Family [-lRental [~Commercial
Date ~-~-~ ' ~ 3
[-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Oper,
Whirlpool Disposal Dip Well
Lavatory Dishwasher Drink Ftn
Toilet Sump Pump Wait, St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater f Local Waste Sculry Sink
E Gas ~8~Elect ~3 PwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Stendp Rec
Electric Contractor
Use / Nature of Work
[--]Electric Installation Verification form attached
(If Replacement)
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
3/02
FROM-: Z~mm~r Electric LLC PHONE NO. : 9'2~85238G Jul. 22 2003 04:49PM PI
J~ 08 ~ 00:~6~ Oshkosh ins~ions 9~0-2~-S084 p.i
Electric Installation Verification
(We)
CEleetrical Con~ractor Name)
(A~) (Ci~) (State) (Zip Code)
(Nadc of part3,' contracted
(Add:s whom work will be
The n~ture of the work consists o~ (Check One or Describe d~e N~mre of Work)
· R~onn~etion o~ new circuit for replaeoment Heating Pla~t and/or A,1C Condenser.
Reco~tion ~ new cWcuh fo; ~la~ment Electric Water H~gt~ or po~ vent~
Reco~6on of~e S~,ice Entr~ce C~le, Meter Box, aRer~ions to r~tacles
~d li~dng fixtures due to siding / mffit i~l~ion. Note: N~ S~'ice
Ent~ Cabl~ will r~uiro a s~mate pc~it,
R~gon ~r n~w ekcuit fer ~ repl~emmt of o~er pe~mdy wigd
app!i~s /
N~, circuit for ~e ~ddifion of~C to ~ I~g~i~l d~alli~g unit (houge or the
in~du~ s~t~s in a duplex or ~ndomLnium), including mq~r~ se~i~
eieo~cal
O~her
Thc value of this '~ irk is $
I hereby verify this work wili be performed by an employee of this company and further verify
the reconnection ,' iosr-,dlation will be done in compliance with manufac 'nu'~r and Eleolric code
requirements.
/~JgrI=tur~ Compaxly OffiCer) (Date)
(Print Name of Officer)