HomeMy WebLinkAbout0103257-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 550 W SMITH AVE
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DOROTHY F FIRL
Category 411 - Residential-Water Heaters
No 103257
Create Date 08/01/2003
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 CONDO/Replace electric water heater. *EIV form from Drexler Electric.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$500.00 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
08/01/2003
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 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 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.
08/82/2003 06:47 2336747 J RASMUSSEN PAGE 81/82
~]lad[t~r~ial
~8/02/2003 06:47 2336747 5 RASNUSSEN PAGE 02/82
V. lectric Installation Verification
(Elcctfica! Comra~tor Name) ~ --
m~,) (Ci~)
~mo ofp~y ~o~od to)
(~css wh~ work Will b~ p~o~ed) '
of thc work ~ists ol~ (~ ~e or Doscfibe ~e Na~ of W~k)
RCco~cc~on or ncw ~c~t ~ ~l~t H~t~ P~ ~d/or ~C Com~ens~.
RecePtion ~ new c~uit for ~la~cnt ~lectdc Wat~ ~cAt~ Or po~ ~t~
w~ hca~.
~onnecfion ofth~ S~i~ E~auco CaBle, Mct~ B~, ~t~oQs ~ r~eptacics
~d ~fing ~turos dug ~ M~g / ~t ~llatio~ ~: New ~cc
Enact Cables wUl r~ ~ s~ pe~it.
R~o~fion ~ n~ ~i~uit ~or the replac~t o~o~ ~an~tly wlm~
appli~ / ~tore~.
New c~uit ~r the ~fiOn o~ ~C to ~ ~diWd~l d~lling unit ~u~ Or thc
i~di~dua] Z3at~s in a duplex or condo~i~O, includ~g r~uirM ~i~
cl~ic~ outlet,
The value vt'tlxls work i~ $ _4-~r, cz3
I hereby verify this work will b~ p~fform~:[ by em employee of this com!~ny and further verify
the rocormection / installation will be don~ in ~ompli~ce with marmfactUrcr and Electric code
($isnatur. or Company Oi'ficer) d'Oi'~c~) fl)ate)