HomeMy WebLinkAbout0113998 P
e CITY OF OSHKOSH No 113998
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1793 #A MARICOPA DR Owner JUDITH A KOHL Create Date 05/11/2005
Contractor FARMERS SUPPLY CO 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 1 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
CONDO/New Owner - Carol Henke. Replace water heater. *EIV My Electric Corp.
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 #
1315140900
$20.00 U Permit Voided I
Valuation
$600.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 05/11/2005
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
34 W 7TH AVE
Agent/Owner
OSHKOSH
WI 54902 -0000
Telephone Number
235-6970
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.
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CityofOWko,h
Div;,ion ofIrepoction som=
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PO Box 1130
O;hkooili WI 54903-1130
Offiœ 920-236-5050
Pro< 920-236-5084
Electric Installation Verification
I (yVe) MY Electric Corp.
(Electrical Contractor Name)
1512 Rugby St.
(Address)
Oshkosh
(City)
WI
(State)
54902
(Zip Code)
have been contracted to perform electric installation work for Farmers Supply Co.
(Name of party contracted to)
at the following address: 1793A Maricopa Dr.
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
~ Reconnection or new circuit for replacement Electric Water Heateror power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
- New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value ofthis work is $500.00
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
l
Eric Youngbauer
(print Name of Officer)
05/11/2005
(Date)