HomeMy WebLinkAbout0098586 POSHKOSH
ON THE WATER
Job Address 2530 #D VILLAGE LN
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RICHARDW SCHMIDT
Contractor RASMUSSEN PLUMBING Category 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 ServSink 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 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
No 98586
Create Date 11/12/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
rMULTI-FAMILY/Replace
electric water heater. *EIV form from Drexler Electric.
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 $500.00 Plan Approval $0.00 Permit Fees $20.00
Issued By
Date 11/12/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 1914 GREENBRIARTRL OSHKOSH WI 54904 - 8887 Telephone Number
920-233-6747
11/1~/~002 07:10
233G747
J RASMUSSEN
PAGE 81/82
Permit Application
11/13/2002 07:10 2336?47 J RASMUSSEN PAGE 02/02
Electric Installation Verification
Dn.~xt.~ra E- L~'ametc_
(Electrical Conhaotor Name)
lqo d3/ Re Itl: A¢ 'rr f- tq q
(Address) (City) (State) (Zip Code)
have been contracted to perform, electric installation work for ~J'- ~-,,,---/ /'2t ",
(Name of party contracted to) --
(Address where work will be p~rformed)
The nature of the work cons/sis of': (Check One or Describe the Nature of Work)
_.__ Reconnect/on or new c/rcui! for replacement Heating Plant and/or A/C Condenser.
.v~ Reconnect/on or new circuit .for replacement Electr/c Water Heater or power vented
water heater. ' .
Reconnect/on of the Serv/ce Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures duo to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
~ R¢connection or new circuit for the replacement of other permanently wired
appl/ances / fixtures.
~ New circuit for the addition of AdC to all individual dwelling unit (house or the
individual symcms irt a duplex or condominium), includ/ng required s~rvice
electrical outlets. '
~ Other
The value of this work is $. ,=~C), ~
I hereby verify this work will be performed by 'an employee of this company and. flrrther verify
the recormecfion / installation will be done in complimace with manu£acturer and Electric code
requirements, r
(Si~atu;e ~r Co~p~,y omcer)
(Print Name of Officer)
(Date)
5/02