HomeMy WebLinkAbout0103399-Plumbing (water heater)OSHKOSH
ON THE WATER
.lob Address 1160 N WESTFIELD ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
Category 441 - Industrial-Water Heaters
No 103399
Create Date 08/08/2003
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 EVERGREEN RETIREMENT CENTER/Install electric water heater.
of Work
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 $499.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date 08/08/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1303 MIDWAY RD, PO BOX 118 MENASHA WI 54952 - 1129 Telephone Number
800-801-8125,733-81
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.
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.
From:
08/07/2002 ]5:~ ~54 P,O02
Plumbing Permit Application
I h~rcby apply for s permit to do and iLstall the followinl plumbing on the premises he~tllafter described, tile work to conform tO the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are. bound by said statut:s.
ApplicatiOn(s) and fee(s) oan be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128, Commencing work without permit(s) w/Il resul! in fees being doubled or $100.00 plus the
normal penmt fee, which ever is greater.
OR
If vott are a contractor parricioatinr In the Permit ,Fee Account Svx;em and have adeouate fund~, check
if you want this flrOeessed through your aacount ,~
Owner ZtT~"/~3A~?l',,e~.~4.~,o~' 'Contractor
[-']Single Family I IDuplex LJMulfi-Family ,~Rental [--]Commercial ' ['"]Industrial
Number of FiXtures:
Electric Contractor
Use / Nature of Work .~"~'~
__ '~ ~~ .
S~W Sewer S~ Ma~al
[ Sto~ Sewer
~a~r S~icc
(If Replaoerfl~t)
E~Eleetric Iustall~itiou Veriflcatign form attached
Fro~: 08/08/200~ 07:~0 ~056 P.O02
92~-42S-5249
Ebctrle la-tanatiom Yedflmtba
SLIM'S ELECTRIC INC.
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2608 Oakwood Circle. Oshkosh .... WI 54904
h,~bN, m,mWd~)S~h= ..M~c~' ~,,(WJ~ Water's Plum.
~ete SdJow~u~ddfues: 1160 NO~ Wes~oJd
~~h~ ........
The w,beef~d, v~d~b S 200.00
08/08103
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