HomeMy WebLinkAbout0098587-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 1741-1745 TAFT AVE
Contractor WATTERS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner
Category
FAIRWAY APARTMENTS LLC
411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater I 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
No 98587
Create Date 11/12/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature
of Work
RENTAL/1743
K/Install gas water heater. *EIV form from Precision Electric.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Valuation $4,520.00 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 11/12/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
MENASHA WI 54952 - 1129 Telephone Number
Address 1303 MIDWAY RD, PO BOX 118 800-801-8125,733-81
From: 11/08/2002 18:18 P,O02
Ci~ of Osltosh
Inspection Services Division
P O Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-$084
ON T~
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 all parties, 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 11'28,
Oshkosh WI 54903-1128. Commencing work without permit(s) wit] result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a..¢ogtr~c~or participating in the Permit Fee Account SviletrLat~d have adequate.funds, check here
if you want this pro. ces.~ed throufrh (toUr. q.~coUnt ~
Owner /~/e~,~ ~~~ Contractor ._ ~~/~ ~~~,,~
Number of Fixtures:
Bathtub Lndry Standp ..... Dc~t. Oper. .. $hamp Sink
Whirlpool Disposal Di~ Well FldWst Sink
~vam~ DIshw~her Drink Fm Cat;h ~sifl
Toilet ~ Su~ Pu~ Wail St. ~ Wash Fm
Dar Sink Wat~ So~n~ Exam Sink ~ Gar Drain
W~eat~ ~1 Waste Scul~ $inh $~a
~,~,(~,~ CIothcs Wahr Hand Sink .... Coffee Mak~
Sh~cr Bidet ~ F P~p Si~k I~ Maker
Fl~r ~i~ ...... B~t Tap .... Se~ Sink Site
Lnd~ Tray . . . Class~ Sink l~t GteMe Trap R~t'Drain
~b Sink , Surgeons Sink Ext Grease Trap Stamp
Plaster Sink Bmak~ $ink
Ste~lizer
Electric Contractor
Use / Nature of Work
/~/~,.em./, ,.e".z~'.~',~, ~; O_~ j~Electric Installation Verificatic~n form attached
(Iie Replacement)
Samtary Sewer
· Storm Sewer
Size Material Type # Corm. Type
Water Scr~ice
a/o=
From:
F'ROM : ~r-~c~stom ~lectric
FnX NO.
: 9207S7~6~4
11/08/2002 18:18/ 75 P,O08
Oct. ~7 R881 87:06AM
P2
Electric Installation Verification
(Electrical Con.actor Name)
(Address) (City) (State) (Zip Code)"
have been contracted to porfor~ electric installation work for [dA ~'t'~, ~Lo~ 6~ ~ ~Nq
(Name of party contracted to)
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the lqat~e of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condemer.
R~onnection or new circuit for replacement Electric Water Heater.
Keeon~ection of the Service Entrauce Cable, M~t~r Box, alterations to rccml~taeles and
lighting fixtures clue to siding / soffit installation. Note: N~v Service Emrance
Cab. l~s will require a separate permit.
Reeonneetion or new circuit for other permanently wired appliances / fixtures.
ther
The value of this work is $ /.~J~7~'.,,.o. .
I hereby verify this work will be performed by an employee oftMs company and further yeti .fy the
reeonnection / instElation witl be done in compliance with manufacturer and Electric code
requirem~ts.
(Signature of Comp~ay Officer)
(Print Name of Officer)