HomeMy WebLinkAbout0099237-Plumbing (water heater)OSHKOSH
ON THE WATER
Job Address 450 #E3 N CAMPBELL RD
Contractor GLAZE PLUMBING Category 411 - Residential-Water Heaters
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn
Water Heater I Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec __
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner BETTY WISLINSKY
No 99237
Create Date 12/30/2002
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
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0
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ofUse/Nature Work IONDO/
Replace 52 gallon electric water heater. *EIV form from MY Electric.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Valuation $730.00 Plan Approval $0.00 Permit Fees
Issued By
Conn. Type
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$20.00
[] Permit Voided
Date
12/30/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number
589-4014
~'f EL. ECTRiC CORP, 920 232 8900 P,01
Electric Installation Verification
I(We) MY g[ectric Corp,
15~2 Rugby .~..~, .. Oshkosh
(A.dckess) (City)
have been contracted to perform electric fnstalI~tion work for
wi 54902
D.R. Glaze Pluzbin$
('Name ofp~u-ty con~acted to)
~.t the following axldre~s: 450 Campbe L!
(Adckess where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Kcconnection or new circuit for replacemcnt Heating Plant and/or A/C Condcn.~er,
R. econnection or new circuit for replacement Elcctric Water Heater or power vented
wat~ heater.
Reooan¢ction of thc Servic~ Entranc~ C~ble, Meter Box, alterations to receptacles
and li~,hQng fixtures due m siding / soffit installation. Note: New $crvi¢~
Bntranc~ Cables will ~cquir~ a scparme p~rnit,
K~c,,onnectlon or new circuit for the r~lacem~n~ of other permanently wired
appliances
New circuit for the addition of NC to ~u in~ti¥id,,a! dwgli,g ~ (house or the
individual systems in a duplex or condominium), includin~ required service
elec~ca.l outlets.
Other
Thevalue of this work is $j500. O0 or L~ss
I hereby verify this work will be performed by ~n employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Elcctrio code
requirements.
E~ic Youn~bauer
(Print Name of Officer)
/ 2,7/2002
(Date)
TQTRL P.O~