HomeMy WebLinkAbout0103747 POSHKOSH
ON THE WATER
.lob Address 1135 W SOUTH PARKAVE
Contractor RASMUSSEN PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PHILLIPR/CARUEDINGER
Category 411 - Residential-Water Heaters
No 103747
Create Date 08/27/2003
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 ClothesWshr 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 MULTI-FAMILY/Apt A/Replace electric water heater. *EIV form from Schafer Electric.
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 $450.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided
Issued By
Date
08/27/2003
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 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.
~,* · ~- 08/28/2003~ 02:i4 233~T47 PAGE 01/02
J RASNUSSEN'* ,:
150
Permit ,Application
Electric Installation ye~fic~tion
t(Eleeaical Co~h, actor Name)
(Adafess) /r (~) - (s~)
have b~ con~a~t~ to ~r~ ethic installation work fo~.,/~ ~ ........
~e of~ con~act~ to)
at the following ~: //-~ ~ ~, ~-~' ~ ......... '
(Ad~ wh~ work ~ll b= ~d)
The na~e ofthe wo~ co~S~ of: (Check ~e ~ Describe ~e Na~e o~ Work)
Reco~e~ion or new circuit for ~la~ent He~g Pt~t mWor ~C Cond~.
~/Re~ection or n~ cimuit for r~l~ement ~¢c~c W~ Heater.
R~tion of~e Se~i~ ~ee Cable, li~g fix~es'due to ~ding I Soffit
Gabl~ will ~m a s~te p~it,
Reco~tion or n~ ckc~it for oth~
Other
The value of ti/is work i~ $ ~2~~''~'~
I hereby verify this work will be pert~ormed by ~ ~plo~e ~f~s comply ~d ~h~ vefi~ the
~ection / instalhtion will be do~ in compli~cc ~th m~c~rer ~ld ~lec~fic code
~uir~ents,
(gig~iamr¢ o~:omp~y Officer)
(Print Nnme of Officer)
('Date)