HomeMy WebLinkAbout0113770-Plumbing (water heater)
e CITY OF OSHKOSH No 113770
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 340 W 15TH AVE Owner CRAIG/CHRISTINA MARX Create Date 04/29/2005
Contractor J RASMUSSEN PLUMBING INC Category 411 - Residential-Water Heaters Plan
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- - - - - -
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
- - - - - -
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
- - - - -
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
- - - - - -
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
- - - - - -
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
- - - - - -
Water Heater 2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
- - - - - -
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
- - - -
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
-
Misc. 0
Fixtures
Use/Nature
of Work
DUPLEX/Replace gas and electric water heaters. *EIV from Drexler Electric.
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
Parcelld #
0904520000
$20.00 U Permit Voided I
Valuation
$1,000.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 04/29/2005
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
Address
1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
WI 54904 -0000
Telephone Number
920-233-6747
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.
0M27/2005 20:10
2336747
J RASMUSSEN
PAGE 02/02
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Electric Installation Verification
I (We)
Drtr;:XLr;-K
ne-c.Tte¡c..
(Electrical Contractor Nð!lIe)
I./qo & Ro Ff- Pi~l<f!TT WT, .stIq(.¥
(Address) (City) (State) (Zip Code)
have been contracted to perfonn electric installa.tion work for r. f2.¡¡~ !fIu~ t!W PI~NJ J:'£c.
(Nan¡e ofpartycontractecl to)
at the following address: -.3¥o f/IÎ. /S-f}. ....wt,.".V'~
(Address where wolk will be performed)
The nature of the work consists of: (Check One or Descnòe the Nature OfWolk)
- Reconnection or new circuit for replacement Heating Plant aud/or AlC Condenser.
~ Reconneotion or new <.'ÏtcQÍt for repbic=ent Electric WlLter Heat<!'r or power v<mted
watet heater.
- Reconncction of/he Service Entrance Cable, Meter Box, alterations'lo receptacles
and lighting fixtures duo to siding I soffit Înstalililtion- Note: New Sc:rvjce
Entrance Cables WilJ require a separate pennit.
- Roconnection or new circuit for the replacement of othr:r pC!1Dm1ently wired
appliances / fixtures.
- New circuit for the addition of AlC to an individual dwelling unll (house or the
individual systems in a duplex or condomiI1ium), Ìtlcll1ding required service
electrical OUtlets.
Other
The .value oftlùs work is 3) (, tJ. Oc)
I hereby verify this work wiU be performed by an c:mployee of this company aud fUrther verify
the recoI1neclion I installation will he done in COmpliance with manufacturer and Electric code
requirements.
(ScE2~
RtU-1..11' Dc D£I:VL~
(Print Name of Officer)
YÞt:-ôs-
F (Date)
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