HomeMy WebLinkAbout0110307-Plumbing (tub & water heater) (~ CiTY OF OSHKOSH No t 10307
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 917 919 MINNESOTA ST Owner CAROL J JUEDES Create Date 09/02/2004
Contractor WATTERS PLUMBING Category 410- Residential-Interior Plan
Bathtub I Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Dtap 0
Lavatory 0 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/~Nst Sink 0 Iht 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 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Water Heater I 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
I~EPLACE WATER HEATER AND BATHTUB IN 919 MINESOTA ST
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $1,225.00 Plan Approval $0.00 Permit Fees $20.00 [] Permit VoidedJ
Issued By
Parcelld #
0903420000
Date 09/02/2004
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
AgentJOwner
Address PO BOX 118 MENASHA WI 54952 - 0118 Telephone Number
920-733-8125
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.
09/03/2008 WED 8:21 FAX 1 920 733 2713 WAITERS PL ,II ING 1002 /002
Cm. nrer..kkosh
rik:kion O!Ifil Ilion Stvvie!i
21f. CMack Avemte
PI) ti0+ 1 r Y
,,,,,,, C*likaak WI 34903. 11111
� `_ 1 ' 1 Of1.ce 9?O- 2i6•ik`A
...,.1 w,. „,
J; a. ^..+A- ?34••O>;n
Electric Installation Verification
1 we ...... e ll _ .�,.,_ A : 74;:4 _.._,.,. _ _ _......._...•..,......_
~ ..
(Electrical Contractor Name)
_Z10.1 /7/,J/ t/ 6nf'� /�jij/'Si� __� .. _.i
(Address) ^ ^ ~~ (City) (State) (Zip Code)
have been contracted to perform electric installation work for, Cfr. 'L czeee, 'J
(Name of party contracted to)
at the following address' ' "". >�F
(Address where work will be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
._ „_ Pjeconnection or new circuit for replacement Heating Plant and/or A/C Condenser•.
✓j connection or new circuit for replacement Electric Water Heater or power vented
water heater.
_,_ 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 perrnit.
__� Rcconnecticm or new circuit for the replacement of other permanently wired
appliances / fixtures.
_ New circuit .for the addition of A/C to an individual dwelling unit (house or the
individual systems m a duplex or condominium), including required service
electrical outlets.
._ Other •
The value ort is work is 5 ,..f.S`�- (-f)
11►ereby vetifv this work will be per brmed by an employee of this company and further verily
the reconnection / installation will be done in compliance with tnaitufacturer and Electric code
requirements.
f-.. /. ..,.... . r:'.g I—
S1 tiiiure o orn o Of ficer
- (.. -; 1'•• t Y ) (Flint Name of Officer) ... �. (Date) — -�� - --
M.a)2