HomeMy WebLinkAbout0116681-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 2010 DICKINSON AVE
Contractor SAMMONS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
ofWork
Valuation
Issued By
0
~
0
0
0
0
1
0
0
0
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
CITY OF OSHKOSH
No
116681
0
0
0
0
0
0
0
0
0
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
PLUMBING PERMIT - APPLICATION AND RECORD
$0.00
$500.00
Plan Approval
Owner OMNI GLASS & PAINT INC
Create Dat. 10/07/2005
Category 441 - Industrial-Water Heaters
0 Water Softner
0 Local Waste
0 Clothes Wshr
0 Bidet
0 BeerTap
0 Lab Sink
0 Sterilizer
0 Dip Well
0 Drink Ftn
Permit Fees
Plan
0
0
0
0
0
0
0
0
0
Shamp Sink ~
FlrlWst Sink 0
Catch Basin 0
Wash Ftn 0
Urinal 0
Standp Rec 0
Ice Maker 0
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtra 0
OMM / ELECTRIC WATER HEATER' EIV SLIM'S ELECTRIC INC.
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 1311660000
$20.00 D Permit Voided I
Date 10/10/2005
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 522W. MURDOCK AVE
AgenUOwner
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
Oct. 07 2005 04: 18PM P3
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Electric InstallatioB VeritlcatioD
SLIM'S ELECTRIC INC.
(Electrical ConttactorNam~)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have~flel'fomalectric iDSta1lalion worIc for-.saD1-IDQn:s_.P.ll,1~..., -.. '.-. - -
(Name of party contraçted to)
r (We)
at tbe following addRISS:
2010 Dickinson Av
(Address where work will be performed)
The IIatIue ofthc worle œnsisrs of: (Check One 01' Describe the NIIIun: ofWorIc)
Rèconnection or new eù'c:uit for replaceJneat HcatíQg Plant 1IIIdICQ' AlC Ccmd_,
-X- Reconnectíou 01' DBW circait for rep1w:m1ent Electric Water Healer 01' power vCIII!ed
W81erbeater.
- RecounectiOR of the Servìçe EnIrance Cable. Meter Box, aIœmtions to receptacles
and lighting fixtures due to siding I soffit iratalIation. NOIe: New Service
Enmmce Cables will reqvire a separate penn!t.
- RCOOMectiOß or new circuit for the replacement of other pemw¡OItlly wired
appüances ) tixt\1re9.
- New circuit for the addition of AlC 10 an inåhlldwll dwelling Ullit (housII or the .
individual systems in a dupl- or CODdomini1llll), illeludiD¡ ~ servite
electrical outld$.
- 00...
Thcvalueofthisworlds$ 60.00
I hereby verify this work will Ix: performed by an emplo}'CC' of this company and ~ verify
the recolll1ectÌon I insta1Jation will be done in complil1DCe with manllflWlUm and Elce1nc code
. to.
David A. Youngwirth
(Print Name of Officer)
09/20/05
(Date)
s,m
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