HomeMy WebLinkAbout0115569 P
e,-
OSHKOSH
ON THE WATER
Job Address 17170NTARIOST
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
115569
OWner HAZEL L WEIGELT LIFE ESTATE
Create Date 08/04/2005
Plan
Category 411 - Residential-Water Heaters
Coffee Maker ---'!
Int Grease Trap ---'!
Ext Grease Trap ---'!
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Bathtub 0 Shower ---'! Water Softner 0 Wait.St. 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
Lavatory 0 Lndry Tray ---'! Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Water Heater 1 Classrm Sink ---'! Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink ---'! DipWell 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind ---'! Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
Valuation
Issued By
Install replacement water heater (Debit Account) (EIV Slim's Elec)
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 Parcelld #
0 1211070000
$550.00
$0.00
$20.00 D Permit Voided I
Plan Approval
Permit Fees
Date 08/04/2005
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 penmit application within an easement, the City strongly urges the penmit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 522W.MURDOCKAVE
Date
Agent/Owner
OSHKOSH
WI 54901 - 2298
Telephone Number 231-9880
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.
FROM :SAMMONS PLUMBING
. "'-«
FAX NO. : 9202318485
Aug, 03 2005 09:01AM P4
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Electric InstallatioD Verlfleatlon
J (We)
SLIM'S ELECTRIC INC.
(Electrical ConttaetorName)
2608 Oakwood Circle Oshkosh WI 54904
(AcIImsI) (City) (Stale) (Zip Code)
have been contœcte41O perlimn electric iosIa\laIiOll. worlc for Sammon's Plum.
(Namo of plllty-COIItraGt«l 10)
1717 Ontario St.
(Address where worlc will be peñOlD'led)
The nature of the worlc consists of: (Check One or Dœeribe the Nature ofWorlc)
at the following addmss:
Reconneetion or now cÎJ'C\IÌt for npJaœment Heating P!allt tØIJJor AlC Condc:øsc:r.
-X- Reconnecúon or new çircllit for replacement Electric Watz:r HcaIer or powar vmted
WIlIer-beater.
- Reconnection oftbe Service Entrance Cable, Mmr Box. alœraticms 10 reœptacles
aßd lighting fixtlln:S due 10 sidiDg I soffit inIIt.lI.mon Note: New Savice
EIItrØIICe Cables willl'l!lC lliR ø.:¡eparate pemût.
- ReoonnecliOll or new circuit for the IIIpløcemcnt of other per.mallClltly wired
appliances I fixtures.
- New ciJcuit for the addkIon of AlC to an /1/dMdwJI dwdJing rmít (house or the
individlUll ~6 in a duplex or condominium), iIx:JudiDB Rl llÌJUlIICI'YÌCI!I
electrical outlets,
- 0Ilun'
Thnalueofthiswodds$ 60.00
I hBfCby verify this work will be perfonnecI by an employee of tbì8 company and tùrtber verify
the J'eco1tI1IICtÌOIII in8talIation will be done in compliance with manufaetum and Eleclriç çode
requirements.
¡~S;___of v ~-) David A. YounQwirth 07/15/05
....--w - (Print Name ofOffieer) (Date)
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