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Home My WebLink About0103850 POSHKOSH ON THE WATER .lob Address 1787 #C MARICOPA DR Contractor SOPER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner BARBARAA LITJENS Category 411 - Residential-Water Heaters No 103850 Create Date 09/02/2003 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 CONDO/Replace electric water heater. *EIV form from Zimmer 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 $425.00 Plan Approval $0.00 Permit Fees $20.00 ~J Permit Voided Issued By Date 09/02/2003 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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 O/HKO/H Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the Wisconsin State Plumbing Code, in the performance of which ail patties hereto agree to and are bound by said statutes. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account Job Address /.Yff>fi ~. .F//A~f.~'f/.~ Value (~ol.di.g ~abor and n~t~a~s) 5/~ ~, ~C9 Owner /~.~f~ ///'z~_,-~~ Contractor .f~..~>~ ~'~.~r _~/~ ~ [--]Single Family [-']Duplex [~Multi-Family ~]Rental ~]Commercial Date [-]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. Oper. Shamp Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory Dishwasher Drink Ftn Catch Basin Toilet Sump Pump Wait. St. Wash Ftn Res. Sink Ejector/Grind Ice Chest Urinal Bar Sink Water Softner Exam Sink Gar Drain Water Heater / Local Waste Sculry Sink Soda Disp ~ Gas~g~Elect [] PwrVnt Clothes Wshr Hand Sink Coffee Maker Shower Bidet F Prep Sink Ice Maker Floor Drain Beer Tap Serv Sink Site Drain Lndry Tray Classrm Sink Iht Grease Trap Roof Drain Lab Sink Surgeons Sink Ext Grease Trap Standp Rec Plaster Sink Breakrm Sink ILP.Z. Valve Eye Wash Stn Sterilizer Electric Contractor 2/,~r.>~ <<~'_~'--, OR [~Electric Installation Verification form attached (If Replacement) Use / Nature of Work /~"~-,~.e'-r~7--- Sanitary Sewer Storm Sewer Water Service Size Material Type # Corm. Type 7/03 FROM : Zimmer ~Ie¢tri¢ LLC PHONE NO. : 9~6852386 Aug. D:~ ~3 ~8:49PH P1 Electric Installation Verification (Elecmcal Contractor Name) " - (.Address) (City) (State) (Zip (N~e ofp~y ~n~ctod ~ (Ad~s where wo~ will be T~e n~r~ o~he wor~ ~onsists of: {Cheok One or Describe lhe N~ure ~ Rcco~tion or n~ circ~t for repl~mt ffl~fic Water Heater or ~w~r v~ wat~ h~at~. ~ R~tion of ~e S~ic~ Entr~ce Cable, Met~ Box, ~lt~ons to ~cepmcles ~d ~ghting fixates due to sidin8 / so~t installation. Not~: N~w R~co~ect/on or new circuh for the r~lacement of olh~ p~en~y appl/~ / fixates. ~ N~'~imuitforthe~di~onof~Ctoanindt~id~f~llin~unff(houseor~e ink,dual ~lems in a d~lex or ~ndomini~), mctudin~ required se~ice elec~cal outlet. The value o£this work is $ /t~ t~ 1 hereby verify this work will be performed by an employe~ of this company and thr~her verify Ihe r¢connection / installation will be done in compliance with manufacturer and 51~tric code requirements, (Print Name of Officer) (Date)