HomeMy WebLinkAbout0098704-Plumbing (water heater) CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 98704
OSHKOSH
ON THE WATER
Job Address 1137 W SOUTH PARK AVE Owner PHILLIP PJC A RUEDINGER Create Date 11/19/2002
Contractor RASMUSSEN PLUMBING Category 411 - Residential-Water Heaters Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 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 RENTAL/Apt N Replace electric water heater. *EIV form from Schafer Electric.
of Work
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Valuation $450.00 Plan Approval $0.00 Permit Fees
Issued By
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
11/19/2002
' : [] Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1914 GREENBRIARTRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
11/~20/2002 07:33 2336747 J RASMUSSEN PAGE 01/02
1~/29/2002~ 07:33 2336747 J RASMUSSEN PAGE 02/82
Electric Installation Verification
(Addr~s) ~ (City)
' Oqame ofpa~Y~on~rae~ to)
(Add~e~ wheme'wo~k will be p~fommed)
The nature of the work consists of: (Check One or Describe the Nam.re o£Work)
geconneczion or nc.s,v c~cmt for replacement Heating Plant and/or A/C Condenser.
Re. connection or new circuit for replacement ]~leotrio Water Heater.
geconr~tion of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtu~s'due to siding / soffit installnIion. Note; New Service I~nt.mc¢
Cables ;viii require a sepnratg l~'rmil.
Rcco~mection or n~w circuit for oth~ permsnently wircd appliances / fixtures.
Other
The value ofthls work is $, ,?.~ .et, , s
I h~eby verify this work will be p~rformed by an employee of this company and further verify the
rcconnection / ~nstallation will be don~ in ~umpllance with manufacm~r and £tect6c code
r~luire, ments.
(Signature of Company Of~ccr)
(Print Nnme of Office0
_/_/_:./~.~--
(Date)