HomeMy WebLinkAbout0103505-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 2239ALLERTON DR
Contractor HOMEOWNER
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 1 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GEORGE F SCHWEDT
Category 411 - Residential-Water Heaters
Ejector/Grind 0 Dip Well 0 F Prep Sink __
Water Softner 0 Drink Ftn 0 Serv Sink
LocaIWaste 0 Wait. St. 0 Shamp Sink
Clothes Wshr 0 Ice Chest 0 FIr/~Vst Sink
Bidet 0 Exam Sink 0 Catch Basin
Beer Tap 0 SculrySink 0 Wash Ftn
Dent. Oper. 0 Hand Sink 0 Urinal
Lab Sink 0 Plaster Sink 0 Standp Rec __
Sterilizer 0 Surgeons Sink 0 Ice Maker
No 103505
Create Date 08/12/2003
Plan
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Iht GreaseTrap 0
0 Ext Grease Trap 0
0 RPZ Valve 0
0 Eye Wash Statn 0
0
0
Use/Nature
of Work
REPLACE ELECTRIC WATER HEATER *EIV form from Homeowner.
Valuation $400.00
Issued By ~,V~
Storm Water
Size
Material Type # Conn. Type
0
Plan Approval $0.00 Permit Fees
$20.00 [] Permit Voided
Date 08/13/2003
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
In the per[or~an~o perform all work pursuant to rules governing the described construction.
Signature\l (r'///J"%~"~¢"- ~'~~ ~/~~:~-- Date ~ - ) ~
I ~ %""~ Agent/Owner
Address 2239 AL'~ OSHKOSH WI 54904 8211 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5'128 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.
Cit~ of Oshkosh
Division o f inspectlon Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
(We)
the homeowner(s) of
Electric Installation Verification
O (print homeowner(s) name)
- (ad,ess Wh~re wo~ i~t~be perforce) '
accept the responsibility for performing the electrical work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
.new circuit for replacement Heating Plant and/or A/C Condenser.
ew circuit for replacement Electric Water Heater or power vented
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Recormection or new cimuit for the replacement of other permanently wired
appliances / fixtures.
__ New circuit for the addition of AJC to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building wouM require a licensed master
electrician.
Other
The value of this work is $
I hereby verify this work will be performed by me and further verify the reconnection /
installation will be done in compliance with manufacturer and Electric code requirements.
- ~(~om,~ ~) Signature
(Date)
5~02