HomeMy WebLinkAbout0108940 POSHKOSH
ON THE WATER
.lob Address 667 N WESTFIELD ST
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BROOKSIDE OF OSHKOSH LLC
Category 441 - Industrial-Water Heaters
No 108940
Create Date 06/25/2004
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
of Work
REPLACE ELEC WTR HTR @ 763 N WESTFIELD BLDG 1
*EIV BELL ELEC
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 $1,125.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Parcel Id #
1608710000
Date 06/25/2004
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number
920-733-8125
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Fr~:~ATTERS PLUMBING 920 733 2713
Feb OEI 04,' l~':OIp r Oa~hkosh Inspect;5or~s
06/21/2004 13:32 ,f385 P.003/003
920-235-5084 P' !
Electric Installation Yertfication
(Address) ~/ (City) ($Iate) (Zip C~e)
have be~ con~ct~ to p~fo~ el~c instglatim work for ~/~4 /~ ,
(~ddre~ whe~ work will ~ perfo~ed)
The nature of the work consists oil: (Check One or Descrlbe thc Natur~ of Work)
Reconneotlon or new circuit ['or replacement Heath~g Plent and/or A/C Condenser.
Rcconnection or new circoi! for replacelrient .~ctric Water I-Icat~ or power vented
Reeonn~otion of the Service En'/rance Cable, Meter Box, almra~/ons ~o receptacles
end lighting fixtures due to siding / soffit installation. Note: Hew Service
Entrance Cables will require a separam permit.
Reeonn~clion or new circuit for the replacement of other p~m,enently wired
appliances / fixtures.
N~' circuit for the addition of A/C Io en i,di~id~al ~elli.g ~tl (honae or~e
individual systems in a duplox or condominium), including requi~¢d service.
eleotrical outlets.
Other
The valtle oftlnis work is $ '~/~.~f~c~
I h~reby verify this work will b~ performed by an employee oft. his company and ~'mther Verify
the reconnection / ms~allatwn w II be don~ m comphance w~th rn~.nuraotuter end ,El eerie code
requiremems.
. .
($~gnatur¢ oftt~ompany Officer) (Print Name of Officer)