HomeMy WebLinkAbout0115969-Plumbing (water heater)
e CITY OF OSHKOSH No 115969
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1921 OMRO RD Owner GKG INVESTMENTS INC Create Date 08126/2005
Contractor J RASMUSSEN PLUMBING INC Category 440 - Industrial-Interior Plan
Bathtub 0 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst 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 BeerTap 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
RoolDrain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
olWork
Install replacement water heater (Debit Account)
(EIV 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 Parcelld #
0 1611560000
Valuation
$4,000.00
Plan Approval
$0.00
Permit Fees
$20.00 0 Permit Voided I
Issued By
Date 0812612005
In the performance 01 this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City 01 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
AgenUOwner
OSHKOSH
WI 54904 - 0000
Telephone Number 920-233-6747
To schedule inspections please cali 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.
08/25/2005 17:04
2335747
J RASMUSSEN
PAGE 02/02
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Electric InstaUation Verification
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(Electrical Contractor Name)
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(City)
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(Address)
at the foHowing address'
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W.I,
(State) (Zip Code)
:r,(1..M,\.\t.u~tPl'ì'.t.-,ý ,
(Name of party contracted to)
~J.
Si-{ q ¿, tf
have been contracted to perfonn electric installation work for
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Re~onneçrion or new circuit for replacement Heating Plant and/or AlC Condenser.
-1- Rcc~¡¡n€,.tion or new circuit for replacement Electric Water Heater or power vented
water heater.
Rcconnection of the Service En!I'ance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation- Note: New Service
Entrance Cables wiJI require a separate penni!.
- Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circ,uit for th,,- addition of NC to an individual dwelling un;,' (house or the
indivichmJ s.¥stems it. 8. åupiex or condominium), incíuãing rcqidrcd service
electrica] outlets. .
Other
The value of this work is $
ÇD.~
I hereby verify this work wilJ be performed by an employee of this company and further verify
the reconnection I instalJation wm be done in compliance with manufacturer and Electric code
requirements.
~
R'LLff' D ( 'í)æ,;:,"'\(LEIf:.
(Print Name of Officer)
<:{- If-or
(Date)
5/02